Case Number : case 95 Posted By: Guest

Iskander Chaudhry - Manchester Royal Infirmary (Manchester) Wrote:

The final diagnosis is superficial angiomyxoma. Phillip should be back imminently but you have me until then. Well done for your great contributions.

Submitted on 20/10/2010 23:10
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Iskander Chaudhry - Manchester Royal Infirmary (Manchester) Wrote:

Amazing what you can diagnose on a single image. A few of you have made the correct diagnosis.

Submitted on 20/10/2010 16:48
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Richard Carr - SWH (Warwick) Wrote:

I thought of angiomyxoma too (usually they are solitary and superficial). Would need to mention Carney's for exam purposes.

Submitted on 20/10/2010 12:14
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

I agree with Juan Carlos, neutrothekeoma or intradermal lipoma are my diagnoses.

Submitted on 20/10/2010 11:49
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ANDREW DANCKWERTS - WITS UNIVERSITY (JOHANNESBURG, RSA) Wrote:

Mxyoid focus involving reticular dermis. The abundant pilosebaceous represented may suggest origin from the head or neck region. I considered the following differential diagnoses: 1. DISCOID LUPUS ERYTHEMATOSIS (DLE) - cannot view epidermis to see if there are any changes; if none, perhaps TUMID LE. 2. RETICULAR MUCINOUS. 3. POLYMORPHOUS LIGHT CHAIN ERUPTION - less likely as may be too deep.

Submitted on 20/10/2010 11:27
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Saleem Taibjee - Warwick () Wrote:

Tough one. Looks like a myxoid process involving the reticular dermis and probably extending deeper. The vascular and epithelial elements suggest to me that angiomyxoma is most likely, but I like the other suggestions.

Submitted on 20/10/2010 10:49
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Tunmid LE.

Submitted on 20/10/2010 06:39
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M N Mahmood - UAH () Wrote:

Nerve sheath myxoma (Neurothekeoma).

Submitted on 20/10/2010 03:58
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good evening everybody. I am not sure that there is mucine..To clear for me. And there are nuclei uniformely distribuited in a clear background. Could be neurothekeoma, nevus lipomatosus superficialis. I need more power to see the cells... thank you...

Submitted on 19/10/2010 23:55
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

I will go for Tumid LE. There is a superficial and deep lymphocytic infiltrate (perivascular and perifollicular), some telangiectatic vessels in the left upper corner, in addition to abundant dermal mucin.

Submitted on 19/10/2010 22:37
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Najla Ben-Ghashir - Warrington Hospital (UK) Wrote:

I suggest follicular mucinosis!

Submitted on 19/10/2010 22:30
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