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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 142 Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Pemphigus foliaceus
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Go to records December 2010

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Admin_Dermpath

Admin_Dermpath 1,217

Posted

Phillip McKee - Overseas consultations (Sedona, Arizona, USA) Wrote:

Well done. Pemphigus foliaceus is the correct answer although all of the differentials are appropriate and would have to be excluded. Have a wonderful Christmas. Phillip

Submitted on 24/12/2010 17:55
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Happy Christmas to every one.. Grettings from Ecuador!... Well I think in P. Foliacoeus or subcorneal Iga pemphigus

Submitted on 24/12/2010 15:07
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

bullous impetigo vs IgA pemphigus

Submitted on 24/12/2010 14:56
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Agree with DDx :superficial pemphigus (P. Foliaceus or P. Erythematosus)&SCPD and IgA pemphigus (subcorneal type) .Could pemphigus vulgaris be added???

Submitted on 24/12/2010 09:27
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Miah Singh - (UK) Wrote:

Are there any herpes inclusions? Happy Xmas to you all.

Submitted on 24/12/2010 08:07
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Good Morning everybody. First of all, I would like to wish u all a Merry Christmas, happy holidays and a happy new year. I agree with the detailed description of my colleague Eman. Due to the evident beautifully demonstrated rounded acantholytic cells, I also favour superficial pemphigus (P. Foliaceus or P. Erythematosus). SCPD and IgA pemphigus (subcorneal type) usually show occassional or mild acantholysis but still they are important DDx here.

Submitted on 24/12/2010 06:45
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Subcorneal blister filled with mainly neutrophils with good number of acantholytic cells and dermal infiltrate of mainly neutrophils, few eosinophils. Favor superficial pemphigus. DD subcorneal pustular dermatosis and IgA pemphigus (subcorneal type) for clinicopathological correlation.

Submitted on 24/12/2010 05:52
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