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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 568 - 13 Aug 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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Female 22 years who presented with a nodule on the finger. Subsequently, she developed nodules on the hand and forearm.
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Go to records August 2012

User Feedback


Guest Hazem Hamed

Guest Hazem Hamed

Posted

Suppurative granulomatous inflammation, given the clinical history I think it would be consistent with sporotrichosis (lymphangitic form) though I can not see the fungus. PAS stain and levels to identify the pathogens are required.

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Guest Dr. Francisco Vílchez

Guest Dr. Francisco Vílchez

Posted

Agree, suppurative granuloma. It could be a sporotrichosis or an atypical mycobacteriosis.

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Guest
Lymphangitic sporotrichosis vs mycobacterium marinum vs TB.

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Sasi Attili

Sasi Attili 85

Posted

Suppurative granulomatous inflammation. Atypical mycobacteria comes to my mind.

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Guest Dr Gonzalo de Toro

Guest Dr Gonzalo de Toro

Posted

Suppurative "pyogranulomas". I agree with ascending nodular lymphangitis sporotrichosis. I countries like Chile, Mycobacterias is part of the DD too.

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Guest MarieMD

Guest MarieMD

Posted

suppurative granulomatous dermatitis c/w sporotrichosis given the clinical data. DDX: cat scratch, atypical mycobacterial infection, other fungal, tularemia

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Sporotrichoid leishmaniasis vs. Sporotricosis vs. Atypical mycobacteria
For PAS, Giemsa and culture

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Iskander H. Chaudhry

Iskander H. Chaudhry 49

Posted

[font=arial,helvetica,sans-serif]Well done everyone for thinking infective. The final diagnosis was Fish Tank Granuloma! [/font]

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