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Building Blocks of Dermatopathology

BAD DermpathPRO Learning Hub: Diagnostic Clues

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Case Number : CT0032 Adam_Bates

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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31 year-old male with lesions on fingers. This biopsy is from the left thumb.
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Adam_Bates

Adam_Bates 47

Posted

leprosy

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Adam_Bates

Adam_Bates 47

Posted

Tendinous xanthomas.
 

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Adam_Bates

Adam_Bates 47

Posted

Xanthomatous dermatofibroma versus digital or cellular fibroma.

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Adam_Bates

Adam_Bates 47

Posted

Would do a Wade Fite.
 

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Adam_Bates

Adam_Bates 47

Posted

Histiocytoid leprosy vs histiocytoma (histiocytic variant of dermatofibroma) for Wade fite stain. Clinical correlation favors the first possibility.
 

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Adam_Bates

Adam_Bates 47

Posted

Tendinous xanthomas vs. lipid laden dermatofibromas. Histiocytoid leprosy is a nice suggestion but I do not think that this variant comes localized to the fingers. Wade fite will verify.

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Adam_Bates

Adam_Bates 47

Posted

Xanthomata, either tendinosum or palmaris.

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