Year : 1979 | Volume
: 27 | Issue : 2 | Page : 63--64
Congenital Bitot spots
M Shukla, K Behari
A.M.U, Institute of Ophthalmology J.N. Medical College, Aligarh, India
A.M.U, Institute of Ophthalmology J.N. Medical College, Aligarh
|How to cite this article:|
Shukla M, Behari K. Congenital Bitot spots.Indian J Ophthalmol 1979;27:63-64
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Shukla M, Behari K. Congenital Bitot spots. Indian J Ophthalmol [serial online] 1979 [cited 2021 Apr 15 ];27:63-64
Available from: https://www.ijo.in/text.asp?1979/27/2/63/31244
Bitot spots were first described by a French Physician Bitot, in 1863 in debilitated orphans in an institution at Bourdeaux. Since then many workers have contributed on the acquired nature of such spots. But there are only isolated reports of congenital Bitot spots in the literature. Here we are presenting an interesting report of congenital Bitot spots occuring in a family.
A boy aged 13 years attended the Institute of Ophthalmology J.N. Medical College, Aligarh with the complaints of mild redness and watering from both the eyes for the last two months. On Examination he was found to have pronounced Bitot spots without any signs of xerophthalmia [Figure 1]. His mother told that similar spots were present in all her children except for her youngest male child who was one and a half years old.
The lady also told that such spots were seen not at birth but a year or so later. The two brothers of the boy and their mother were also examined and similar spots were seen. The youngest male child however did not have these spots. On further inquiry an interesting fact was revealed by the mother that similar spots were present in her brother and sister and their children [Figure 2]. However, we could not examine them as they were not resident of this place.
The present report amply justifies the occurrence of congenital Bitot spots which may even run in generations. It is probable that such spots may not be present at birth but make their appearance during first year of life or so. It is difficult to comment about the heredity pattern of these spots, but it is logical to believe that such spots may be inherited and may not be the only manifestation of vitamin A deficiency.
A report of congenital Bitot spots in a family is presented and its cccurrence in two generations of this family is reviewed.
|1||Bietti (1963), Klin Mbl. Augenheilk. 143, 321.|