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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 665 - 31 Dec 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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Patient with sclerotic lesions on limbs. Courtesy of Nooshin Brinster
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Go to records December 2012

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Guest Hazem Hamed

Guest Hazem Hamed

Posted

Nephrogenic systemic fibrosis vs scleromyxedema. I favor the former due to involvement of subcutis. Is there a history of renal insufficiency??

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Arif Usmani

Arif Usmani 17

Posted

Agree with Dr. Hamed. In addition to history a CD34 stain may also be helpful.

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Dr. Phillip McKee

Dr. Phillip McKee 130

Posted

I am very impressed Hazem and Arif. You are absolutely correct. The diagnosis is nephrogenic systemic fibrosis and the patient did have a history of renal failure with dialysis. There will not be a spot diagnosis tomorrow. Happy New Year to you all.

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Arif Usmani

Arif Usmani 17

Posted

Thanks Dr. McKee. Happy New Year to you too.

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Guest Hazem Hamed

Guest Hazem Hamed

Posted

Thank you very much Dr McKee. Happy New Year to you too.

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