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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 545 - 11 July Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
Male 51 years, lesion on lip.

We are grateful to Dr. Richard Carr for this case.
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Go to records July 2012

User Feedback


Guest Hazem Hamed

Guest Hazem Hamed

Posted

[size="3"][color="#000000"][font="Calibri"]There is dermal mucin deposition which extends in between the muscle fibers. Though it can be seen in various conditions (neoplastic or non neoplastic), I think there are no additional features of possible underlying cause. It does not look like mucocele (no cyst or granulation tissue). l would think of sclerdema and thyroid myxedema. Does the patient have any thyroid problems?[/font][/color][/size]

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Guest
[b][color="#000000"]Scleredema[/color] of Buschke.[/b]

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Guest Dr Engin Sezer

Guest Dr Engin Sezer

Posted

I wonder as to whether the deposit is a soft tissue filler or mucin. The material appears to deposit at striated muscle, hence the possibility of deep injection of soft tissue filler should be sought, despite patient's gender??

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Sasi Attili

Sasi Attili 85

Posted

To me this looks like a cosmetic filler.

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Guest Azza
also think in hyaluronic acid dermal filler

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Guest Dr. Francisco Vílchez

Guest Dr. Francisco Vílchez

Posted

Cosmetic filler

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Guest
Congratulation for the REALLY AMAZING site....

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Guest Juan Carlos Garcés, Ecuador

Guest Juan Carlos Garcés, Ecuador

Posted

Cosmetic filler

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Victor Delgado

Victor Delgado 6

Posted

Well, first of all, congratulations to Doctor McKee by such a marvellous website. About the case, I thought in lichen mixedematosus nodular variant. There is a normal papilar dermis and brisk lymphocytic infiltrate perivascular superficial. The collagen bundles look without alterations and the fibroblast are increased.

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Guest sathiyaparamjo

Guest sathiyaparamjo

Posted

cosmetic material infiltration between skeletal muscle bundles

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A Gohar
[size=4][font=courier new,courier,monospace]More clinical data please. [/font][/size]

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Guest MarieMD

Guest MarieMD

Posted

scar and mucous....? mucous cyst

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Well done most of you got it right.
There was in fact an actinic cheilitis (the reason for the biopsy).
The mucin was noted incidentally and we signed it out suggesting the possibility
of a hyaluronic acid containing cosmetic filler. The latter was confirmed
later by the surgeon.
Regards to all
Richard

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