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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 258 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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Admin_Dermpath

Posted

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

The diagnosis is cutaneous amyloidosis. One of the so called invisible dermatoses.

Submitted on 08/06/2011 05:35
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

Have seen this pic since yesterday, and it is a thin skin. I think it could one of those violaceous plaques seen over the eyelids in multiple myeoloma related to amyloidosis...

Submitted on 07/06/2011 10:24
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Juan Carlos Garcés - Hospital Luis Vernaza / Hospital Oncológico (Guayaquil Ecuador) Wrote:

Nodular amyloidosis

Submitted on 06/06/2011 15:33
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Nodular amylidosis (plasma cells with prominant Russel bodies).

Submitted on 06/06/2011 13:29
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galal; el enany - cairo university (cairo) Wrote:

nodular amyloidosis

Submitted on 06/06/2011 12:16
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MSMD - () Wrote:

pinch purpura amyloidosis

Submitted on 06/06/2011 11:27
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Mona Abdel Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Hyperkeratosis, increased epidermal pigmentation, melanin granules in the dermis, extravasated RBCs, homogenous esinophilc small globular deposits are seen in the papillary dermis. Thinking of amyloidosis, the pigment granules would favour a primary cutaneous type. Mostly there is also a dermal clefting, could be bullous amyloidosis. However, it is usually encountered in the systemic forms but as much as I know, the systemic forms does not containg pigment deposition or melanophages.

Submitted on 06/06/2011 09:23
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Maria Antonia Pastor - () Wrote:

Amyloid

Submitted on 06/06/2011 08:58
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

Looks like amyloid with extravasated red blood cells maybe traumatic... or colloidal deposition...

Submitted on 06/06/2011 06:16
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