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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 280 Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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Male 65 years, painful foot with nodule on ankle.
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  Report Record
Go to records July 2011

User Feedback


Admin_Dermpath

Admin_Dermpath 1,217

Posted

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

No brownie points for this - it is a Gouty Tophus.

Submitted on 08/07/2011 04:23
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Gouty Tophi.

Submitted on 07/07/2011 18:45
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Gouty Tophi

Submitted on 06/07/2011 10:52
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Rodrigo Restrepo - UPB/CES (Mdlln/Col) Wrote:

Gouty tophi

Submitted on 06/07/2011 07:26
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

gouty tophi, lovely pic!

Submitted on 06/07/2011 06:44
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Diana Alvarez - (The Netherlands) Wrote:

Gouty tophi, very nice!

Submitted on 06/07/2011 06:41
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Mona Abdel Halim - (Egypt) Wrote:

Beautiful gouti tophi

Submitted on 06/07/2011 05:39
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Amira Tawdy - Cairo University (Egypt) Wrote:

Gouty tophi

Submitted on 06/07/2011 04:58
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Reubina Wadee - NHLS/Wits University (Johannesburg, South Africa) Wrote:

Crystalline material with a surrounding histiocytic response, consistent with tophaceous gout.

Submitted on 06/07/2011 04:48
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ANDREW DANCKWERTS - NHLS, WITS UNIVERSITY (JOHANNESBURG, RSA) Wrote:

NEEDLE SHAPED CRYSTALS, DESCIBED AS "SHEAVES OF WHEAT", CONSISTENT WITH A GOUTY TOPHUS. THE DIFFERENTIAL DIAGNOSIS INCLUDES SECONDARY PSEUDOGOUT, DESCRIBED AS RHOMBOID-LIKE CRYSTALS.

Submitted on 06/07/2011 04:43
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Hazem Hamed - Department of Histopathology, Imperial College London. (LONDON) Wrote:

Circumscribed foci of amorphous structureless pale eosinophilic material (urate crystals), rimmed by histiocytes with a few inflammatory cells. Diagnosis: Gouty Tophi.

Submitted on 06/07/2011 04:39
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