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12469 Medicine

A 63-year-old man is noticed to have asymmetric pupils. He is completely well and has no symptoms. On examination, the left pupil is small, round, and has a brisk response to light and near stimuli (accommodation). There is also ptosis of the left eyelid, but no other ocular movement abnormality or symptoms of double vision.For the above patient with a pupillary abnormality, select the most likely diagnosis.

Aessential anisocoria
BHorner syndrome
Ctonic pupils (Holmes-Adie syndrome)
DArgyll Robertson pupils
Medicine
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