PMC6324106_01
(a) Slit lamp photograph of the girl child showing mutton fat keratic precipitates. (b) Montage color fundus photograph of the mother's right eye showing multiple large healed choroidal granulomas
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F1
She was found to have choroidal granuloma in her right eye [Fig. 1b].
Deforming arthritis with severe contractures at proximal interphalangeal joints in mother and boggy arthritis of wrists in both children. The boy has initial stage of contracture of proximal interphalangeal joints
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PMC6324106_01_IJO-67-165-g002.jpg
F2
Rheumatological examination revealed very deforming arthritis of the small joints of her hands with flexion contractures at the proximal interphalangeal (PIP) joints [Fig. 2]. On musculoskeletal examination she was noticed to have boggy swelling of wrists [Fig. 2], knees, and ankles bilaterally.