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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 594 - 18 Sept 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 34 years with a lesion over his elbow.
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Go to records September 2012

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Guest Hazem Hamed

Guest Hazem Hamed

Posted

Non necrotizing giant cell rich granulomatous reaction (astroid bodies are seen in the giant cells), would suggest sarcoidosis or Foreign body reaction after excluding infectious aetiology (PAS, Fite, ………). Correlation with clinical findings (chest X ray,.....) is essential.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Agree with Dr Hazem. Sarcoidosis or foreign body reaction

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Dr. Phillip McKee

Dr. Phillip McKee 130

Posted

I fully agree with the differential diagnoses of sarcoidosis and infectious conditions. The diagnosis in this case is granulomatous tenosynovitis. This is a very rare condition which most often is associated with a mycobacterial or atypical mycobacterial infection. It has also been described in association with Sporothrix schenckii and there is a report of it following trauma associated with a broken fluorescent light bulb! In this case, the cause is unknown.

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