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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 622 - 26 Oct 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 76 yeard. white pale and dense florid striae tongue/floor of mouth/inner lip. ?Lichen planus/candida/?Geographic Tongue?
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Go to records October 2012

User Feedback


Iskander H. Chaudhry

Iskander H. Chaudhry 49

Posted

Did you know that the Difficult Cases section is now free to access by anyone visiting DermpathPRO? A [b][url="https://dermpathpro.com/difficult_opinion_cases_1/_/case-do010-r12?&do=comments#commentsStart"]new case[/url][/b] was just posted, and the opinions of our panel of experts are mixed on this! Have a look at this [b][url="https://dermpathpro.com/difficult_opinion_cases_1/_/case-do010-r12?&do=comments#commentsStart"]controversial case[/url][/b] and why not, post your own opinion!

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Guest Guillermo Solis

Guest Guillermo Solis

Posted

White sponge nevus

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Guest Dr. Francisco Vílchez

Guest Dr. Francisco Vílchez

Posted

Agree. Very nice case!!!

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Suggest taking a closer look!

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Thought of white sponge nevus, can not think of something else,, especially with the clinical picture, but the comment of Dr Carr makes me feel that we r wrong :-) will wait and c !!!!!!!

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Guest Guillermo Solis

Guest Guillermo Solis

Posted

Smokeless tobacco keratosis is a differential diagnosis. An history of tobacco chewing must be obtained.

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Guest MarieMD

Guest MarieMD

Posted

hairy leukoplakia (hi power shows intranuclear inclusion). otherwise, in clinical setting I thought of tobacco-induced leukoplakia

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Dr. Phillip McKee

Dr. Phillip McKee 130

Posted

Well done Marie. The 3rd picture shows ballooned keratinocytes. The nuclei demonstarte beading of the chromatin and there is a possible Cowdry inclusion. The diagnosis was confirmed with in situ htbridization. This is a case courtesy of Sook-Bin Woo, MD.

[b]Again, I would stress that the difficult cases are now part of the free component of the website. Please do look at them and post comments if you want to. They are fabulous cases[/b]

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