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Building Blocks of Dermatopathology

BAD DermpathPRO Learning Hub: Diagnostic Clues

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Case Number : CT0075 Adam_Bates

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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45-year-old male with a lesion on his right nose, with the clinical of nevus vs. BCC. Patient has a pending kidney biopsy performed for reasons that I am not aware of.


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Adam_Bates

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I think this nice case had been posted before as Langerhans cell histiocytosis

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Adam_Bates

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Yes, this was a very interesting case of LCH that we have seen and enjoyed before, but still it is a lovely case. Kidney was the clue as Dr Richard Carr said but it was the kidney shaped nuclei not the kidney biopsy that he meant :-))
 

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Adam_Bates

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Not seen such conspicuous longitudinal nuclear grooves in a case of LCH (would confirm with CD1a, S100 protein etc) ... thanks for the high quality photomicrographs.
 

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Adam_Bates

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It's good to achieve the correct diagnosis in a difficult case that made me get wrong in a recent past. This sense of self confidence is a sign that I'm really aware that I learned with it.
 

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Adam_Bates

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Hi all, this is indeed the same isolated, incidental focus of langerhans cell histiocytosis adjacent to nevus, I'll check what happened with this case.
 

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