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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 263 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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72 year old man with a one year history of asymptomatic inflammation on glans penis and scarring in coronal sulcus.
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Go to records June 2011

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Admin_Dermpath

Admin_Dermpath 1,217

Posted

MSMD - () Wrote:

Zoon's balanitis

Submitted on 13/06/2011 12:16
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Phillip McKee - Overseas consultations (Cave Creek, USA) Wrote:

I hope that you all like the new format. Obviously you are all correct. Zoon's balinitis is the correct diagnosis. the lozenge-shaped keratinocytes is a useful clue. Remember that very exceptionally, females can suffer form the same/a similar condition.

Submitted on 13/06/2011 09:18
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Pablo Ortega - Hospital Isidro Ayora -Dermatopatholy Department (Loja-Ecuador) Wrote:

It looks like bullous Zoon´s balanitis, balanitis xerotica obliterans is my differential.

Submitted on 13/06/2011 08:18
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Richard Carr - Warwick (UK) Wrote:

Missed the birthday celebrations!! And what a beutiful case to mark the occasion yesterday. I will also go for Zoon's on this one. I think the apparent squamatisation is probably pseudo in this case.

Submitted on 13/06/2011 06:58
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ANDREW DANCKWERTS - NHLS, WITS UNIVERSITY (DURBAN, RSA) Wrote:

I FAVOUR BALANITIS CIRCUMSCRIPTA PLASMACELLULARIS / ZOON'S BALANITIS. HOWEVER, THE DIFFERENTIAL DIAGNOSIS INCLUDES: BALANITIS XEROTICA OBLITERANS (BXO), IN VIEW OF THE VAGUELY LICHENOID AREAS, DEEP DERMAL FIBROSIS AND DEEP LYMPHOCYTIC INFILTRATE.

Submitted on 13/06/2011 06:47
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

The most probable diagnosis is Zoon´s balanitis, however I would include a lichenoid interface mucositis

Submitted on 13/06/2011 05:26
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Graham Reilly - Princess Elizabeth Hospital (Guernsey) Wrote:

Zoon`s balanitis.

Submitted on 13/06/2011 03:31
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Zoon's balanitis.

Submitted on 13/06/2011 00:35
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Mona Abdel Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

This is Zoon's balanitis. (Plasma cell balanitis). Nice new look for Spot Diagnosis !!!!!

Submitted on 13/06/2011 00:11
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