The clinical manifestations of trachoma vary with the severity and duration of the initial infection and also depend upon environmental factors, the patient's nutritional and immune status, the number of reinfections, and the presence or absence of secondary bacterial infection. It is usually bilateral. The course of trachoma can be divided into four stages (the Mc-Callan classification) [68]. During the active stages of infection inclusions can be found in Giemsa-stained cells scraped from the surface of infected epithelium. More easy to recognise is a positive direct immunoflu-orescence for Chlamydia trachomatis on the scraping, it can be very helpful in making the correct diagnosis [62, 90]. The diagnosis can also be made by isolation of

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Mole Removal

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