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Building Blocks of Dermatopathology

BAD DermpathPRO Learning Hub: Diagnostic Clues

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Case Number : CT0115 Adam_Bates

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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The patient is an 83-year-old white man with a shave biopsy of a lesion on the left forearm.


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Adam_Bates

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?Majocchi's granuloma. Suppurative inflammation. I would ask for PAS, to confirm or exclude fungi, in the first instance.
 

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Adam_Bates

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Suppurative granuloma with endothrix (fungal spores in a hair shaft). Look forward to Zn, Gram & PAS. Can all this suppurative inflammation be due to a few fungal spores? Could not see obvious hyphae in the images. Need to r/o atypical mycobacterium e.g Marinum

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Adam_Bates

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Agree with Majocchi's granuloma.
 

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