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Jag Bhawan - Case Video 01

<br /> {block="block-add"}  <div class='message'> In this section there will be posted weekly a Case Video from one of the many fantastic Courses, Conferences or Symposium that are organised by or in partnership with DermPathPro. If you have the expertise and are interested in preparing a video for the site, please email us at <a href="mailto:info@dermpathpro.com">info@dermpathpro.com</a>.  </div> <br /> <iframe src="https://player.vimeo.com/vid

Admin_Dermpath

Admin_Dermpath

Sebaceoma or Sebaceous Carcinoma?

[b][i][size=4]Mona R.E. Abdel Halim[/size][/i][/b] [center][b][i][size=4]MD Dermatology, Diploma of Dermatopathology (ICDP-UEMS)[/size][/i][/b][/center]   [size=4] I have followed with great attention a spot diagnosis case in this excellent website that was posted by Dr Mark Hurt in December 2015. A split of opinions has happened in this case between a sebaceoma and a sebaceous carcinoma, with Dr Mark giving the final diagnosis as a moderately differentiated sebaceous carcinoma. [/siz

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Drug Reactions

[center][b][i]Mona R.E. Abdel Halim[/i][/b][/center] [center][b][i]MD Dermatology, Diploma of Dermatopathology (ICDP-UEMS)[/i][/b][/center] Drug reactions are one of the most common encounters in routine dermatopathology practice. In most of the cases, they are straight forward and represent distinct clinicopathological entities such as erythema multiforme, exanthematous drug eruptions, lichenoid drug eruptions, lymphomatoid drug eruptions and photosensitive drug eruptions. However, in some

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

The importance of dermatopathology meetings

[center][b][i]Mona R.E. Abdel Halim[/i][/b][/center] [center][b][i]MD Dermatology, Diploma of Dermatopathology (ICDP-UEMS)[/i][/b][/center] Attending dermatopathology meetings is an important tool for upgrading the knowledge of any dermatopathologist especially international meetings. Skin diseases have different distributions around the world. For example, whereas melanoma and non melanoma skin cancer are prevalent in the west, other skin diseases are more prevalent in the Middle East an

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Appearances in dermatopathology

[center][b]Mona R.E. Abdel Halim[/b][/center] [center][b]MD Dermatology, Diploma of Dermatopathology (ICDP-UEMS)[/b][/center] I just came across this interesting article published in the Indian Journal of Dermatology, Venereology and Leprology about appearances in Dermatopathology. Dermatopathologists give different terms to describe various morphological appearances of different lesions so as to help them identify them. Although most of the terms I read were known to me, I came across new t

The definition of a mistake in the practice of clinical medicine

Recently I was discussing a situation at my institution with another colleague. A mutual colleague was sharing a service with a senior pathologist and they were the only two pathologists with specialized expertise in this area at the institution. The two service providers disagreed over a particular diagnosis for a case. Unfortunately, the senior pathologist thought that her junior colleague's interpretation was 'a mistake' and made the decision to not share a portion of the service with him. On

Uma Sundram

Uma Sundram

Pathology’s little secret

When asked to contribute something to the Dermpath pro blog site, I thought I would ruminate on a topic close to my heart. When we speak to our non-pathology clinical colleagues, they often think of pathologists as the ‘final say’ in diagnosis. “We can only guess at the diagnosis but you guys tell us EXACTLY what the diagnosis is”. While it’s great to feel omniscient, as pathologists we know how slippery this slope really is. Arriving at the appropriate diagnosis is very tricky, especi

Uma Sundram

Uma Sundram

Pediatric Dermatopathology

[b]Mona R.E. Abdel Halim[/b] [b]MD Dermatology, Diploma of Dermatopathology (ICDP-UEMS)[/b] The pediatric age group which extends from birth till the age of 18 is a very rich age group when it comes to skin diseases. In this age group, we see congenital malformations, nevoid/hamartomatous lesions, and cutaneous manifestations of various syndromes in addition to other categories of medical disorders peculiar to this age group. Many skin diseases affect the pediatric age group more than the

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

A step in making a change

[b]Mona R.E. Abdel Halim MD Dermatology, Diploma of Dermatopathology (ICDP-UEMS)[/b] Two weeks ago was our annual meeting of the Dermatology Department, Cairo University. Alongside the meeting several workshops were carried out. This was the second time we have organized a Dermatopathology workshop. Last year the workshop was designed to cover major tissue reaction patterns and this year we covered epidermal tumors, adnexal tumors and cutaneous cysts (basic level). The interest for dermat

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Hypopigmented MF or hypopigmented interface T cell dyscrasia?

One of the difficult areas in dermatopathology is the diagnosis of hypopigmented MF (HMF). Most of the cases affect children and young aged individuals. Constellation of clinical, histopathological and gene re-arrangement studies are needed to reach a definite diagnosis. In areas of the world like Egypt where resources are limited, TCR gene rearrangement studies are a luxurious kind of investigation that is not available on routine basis. Besides, it is known that TCR in HMF might be unreliable

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Congratulations to those who passed the European Dermpath Exam

I want to congratulate my friend (and pupil) Dr Nick Turnbull who has just found out he has passed the European/International dermpath exam. This is brilliant as I think New Zealand has not got too many board qualified dermatopathologists and Nick as a dermatologist certainly made an extra-ordinary effort to learn dermatopathology in the last few years. I also want to congratulate anyone else and to those who failed encourage them to persist.

Dr. Richard Carr

Dr. Richard Carr

Why is it important to carefully examine the stratum corneum?

I have seen a case that presented with a history of psoriasis for which she received topical steroids. The patient used to improve on topical steroids so she kept re-using them again and again. Since 1 year she claimed that the lesions started to progress to involve larger areas of her body and became resistant to treatment. I saw the skin biopsy in a routine signing out session before seeing the patient clinically. The findings were totally that of nonspecific spongiotic dermatitis with foci of

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

The sometimes challenging lichenoid reaction pattern

The lichenoid reaction pattern is commonly encountered in our daily signing out routine. it comprises a wide range of diseases from benign simple conditions like lichen planus to malignant serious conditions like lichenoid MF. A common mistake, that many beginners in dermatopathology can fall in, is the misinterpretation of interface lymphocytes as epidermotropic cells of MF especially in the context of lichenoid drug reactions for example where lymphocytes may become activated and appea

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Update from the Dermatopathology Society of India Meeting (2014), Bangalore.

I had the privilege of attending the [url="http://dermpathindia.org/meetings.html"]DSI meeting[/url] held in Bangalore last week. This was my first such attendance in India. It was heartening to see that the majority (60%) of attendees (around 450 in total) were dermatologists. The meeting started with an informative pre-conference workshop on Immunofluorescence techniques. The main conference was held over 3 days, with the agenda being dominated by the 'Glass Slide Challenge' comprising of 40 s

Sasi Attili

Sasi Attili

Longitudinal melanonychia

It was last week when I accidentally discovered a longitudinal band of melanonychia in my left little toe. Surprisingly, this was in the evening of a long day at work that included a signing out of a case of in transit metastasis of acral lentiginous melanoma!!!! Needless to say that my first decision was to arrange with my colleague, who is excellent in nail biopsies, to do a nail biopsy immediately. With the image of a metastatic acral lentiginous melanoma, I could not think of somethi

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Have we missed any of them?

The interesting case of Dr Richard Carr posted in the Spot diagnosis section of this website on Friday 19/9 of Bowen's disease arising in a seborrheic keratosis has provoked my concern. I performed some Pubmed search and found several published reports of a variety of malignant tumors arising within seborrheic keratosis including BCC, SCC, trichilemmal carcinoma, porocarcinoma and Bowen's disease. It seems that these cases represent a mere random collision of two tumors within a single l

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

How to deal with difficult cases?

When you encounter a difficult case in your signing out routine, a case that you are unable to settle its diagnosis, which scenario you go through? 1. Refer the case to a colleague from the start. 2. Write down your findings, your provisional interpretation, suggest a differential diagnosis and ask for further work up, if not available in your lab. 3. Leave the case for a while, may be few days, have a second look on it later. Actually, each of the above scenarios can be used accordi

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Porokeratosis: Is it a single 'disease'?

Many a time in life we take things for granted because that is what we have been taught to believe. The human mind is too bogged down by events in daily life that we do not ponder to question what is already believed to be 'known'. Take the case of Porokeratosis. What is it? Porokeratosis is defined by the presence of the pathognomonic coronoid lamella, a finding certainly not specific to porokeratosis, found in a number of other inflammatory and neoplastic conditions. So essentially the

Sasi Attili

Sasi Attili

Ramadan Inspirations !!

It has been our holy month of Ramadan since the 29th of June! The month during which we fast from dawn till sunset every day. This month represents a great opportunity for our souls and bodies to undergo spiritual and physical re-shaping. It is part of our culture and tradition during this month to gather as families and friends at the "Iftar" meal at sunset to break our fasting. This meal is very important and although it should be nutritious, it still should be light and healthy especi

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Lymphoma in disguise

The case of Dr Richard Carr which was posted in the spot diagnosis section of this wonderful website on Friday was really an amazing case of anaplastic large cell lymphoma (ALCL) rich in esinophils. The esinophils were so abundant that I missed the case as an infectious process !!!! This raised my attention to the possible disguised presentations of lymphomas. Primary cutaneous T cell lymphoma can be disguised clinically as eczematous or inflammatory skin conditions for long time before a p

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Sunlight exposure: a cause of melanoma?

On June 14th, the overwhelming majority of the audience in the Arena Amazonia for the England vs. Italy match, including me, cheered the Squadra Azzurra. That's because the England manager, Roy Hodgson, has said Manaus was the venue ideally to avoid, and that he preferred to be drawn in the most difficult group of the 2014 FIFA World Cup rather than had to play in the heat of the Amazon Rainforest. As a matter of fact, I got another reason for have supported Italy. Nothing against what Hodgso

Robledo F. Rocha

Robledo F. Rocha

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