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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 418 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 12 years, pigmented lesion on foot.
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  Report Record
Go to records January 2012

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Admin_Dermpath

Admin_Dermpath 1,217

Posted

Alejandro Velez - Hospital pablo Tobon Uribe (Medellin Colombia) Wrote:

MANIAC

Submitted on 17/01/2012 04:09
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Phillip McKee - Overseas Consultations (Cave Creek, Arizona, USA) Wrote:

Well done all those diagnosed MANIAC. The age of the patient is a major clue obviously. The pagetoid cells are very uniform. The epidermis shows psoriasiform hyperplasia rather than the jagged irregular acanthosis seen in many acral melanomas. There is a central scar which also raises recurrent nevus phenomenon as an additional cause of the atypia.

Submitted on 16/01/2012 17:31
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Zena Slim (SpR Histopath) - Wessex Deanery (QAH Portsmouth) Wrote:

I would favour a malignant melanoma over MANIAC

Submitted on 16/01/2012 15:56
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Rodrigo Restrepo - CES/UPB (Mdlln-Col) Wrote:

Melanocytic acral nevus with intraepidermal ascent of cells

Submitted on 16/01/2012 15:36
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

MANIAC.

Submitted on 16/01/2012 15:18
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Saleem Taibjee - Warwick (Warwick) Wrote:

MANIAC

Submitted on 16/01/2012 13:16
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Francisco Vilchez - Department of Dermatology. Virgen de la Victoria Clinical Universitary Hospital. (Málaga (Spain)) Wrote:

Acral nevus

Submitted on 16/01/2012 12:59
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Mona Abdel Halim - Dermatology Dept. Cairo Univ. (Egypt) Wrote:

MANIAC

Submitted on 16/01/2012 12:05
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Richard Carr - Warwick (UK) Wrote:

MANIAC with previous biopsy scar

Submitted on 16/01/2012 11:44
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A Bansal - BCU HB (North Wales) Wrote:

Melanocytic acral nevus with intraepidermal ascent of cells

Submitted on 16/01/2012 10:44
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Amira Tawdy - Cairo University (Egypt) Wrote:

Spitzoid melanoma

Submitted on 16/01/2012 10:29
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Marcela Saeb Lima - INCMNSZ (Mexico City) Wrote:

MANIAC vs melanoma

Submitted on 16/01/2012 09:48
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