Jump to content
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 646 - 29 Nov 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)
Female of 81 years with widespread erythematous and urticarial lesions.
picture-1
picture-2
picture-3
picture-4
  Report Record
Go to records November 2012

User Feedback


Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Esinophil rich infiltrate, esinophils aligned along basal layer, in view of age and clinical picture including urticarial lesions, I will favor urticarial stage of BP.

Share this comment

Link to comment
share_externally
Guest Hazem Hamed

Guest Hazem Hamed

Posted

Differential diagnosis includes: Prebullous pemphigoid, Drugs, urticaria, or due to internal malignancy. There is no evidence of vasculitis. For IF and clinico-radiological correlation. I favor Prebullous pemphigoid.

Share this comment

Link to comment
share_externally
Arif Usmani

Arif Usmani 17

Posted

Urticarial phase of bullous pemphigoid with differential diagnosis mentioned by Dr. Hamed.

Share this comment

Link to comment
share_externally
Guest Robledo F. Rocha

Guest Robledo F. Rocha

Posted

Early urticarial lesion of bullous pemphigoid. I suggest this diagnosis because there is a superficial perivascular and interstitial infiltrate of lymphocytes and numerous eosinophils. Some eosinophils line up along the dermo-epidermal junction, accompanied by mild vacuolar degeneration.

Share this comment

Link to comment
share_externally
Dr. Phillip McKee

Dr. Phillip McKee 130

Posted

Well done. The diagnosis is pre-bullous pemphigoid. Confirmed with IMF.

Share this comment

Link to comment
share_externally

×
×
  • Create New...