Brushfield spots

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Example of Brushfield Spots.
Example of Brushfield Spots.

Brushfield spots are small white or grayish/brown spots on the periphery of the iris in the human eye due to aggregation of a normal iris element (connective tissue). These spots are normal in children but are also a feature of Down syndrome. They occur in 35-78% of newborn infants with Down syndrome.[1] They are much more likely to occur in Down syndrome children of the Caucasian race than children of Asian heritage.[2] Brushfield spots are named after the physician, Thomas Brushfield, who first described them in 1924[citation needed].

They are focal areas of stromal hyperplasia, surrounded by relative hypoplasia and are more common in patients with lightly pigmented irises.

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