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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 597 - 21 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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Female 24 years with sudden onset on mutliple skin nodules. 
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Go to records September 2012

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Sasi Attili

Sasi Attili 85

Posted

Tough!!, as is obvious from the varied responses. I thought the cells looked a bit histiocytic. There is a sort of interstitial pattern with a suggestion of necrobiosis and mucin. I am however not certain. Papular GA came to mind, but the history and the histo is not really typical. I wasn't convinced the cells were neoplastic. Looking forward to be educated!! :)

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Dr. Phillip McKee

Dr. Phillip McKee 130

Posted

This is the sort of case that I find very difficult and the clinical information for me is critical. The bottom two figues show blast cells. This is an example of acute myeloid leukemia. When I look at this sort of case, I always try to remember leukemia cutis at the back of my mind when I consider the differential diagnosis (it doesn't always work!). Fortunately, the clinical information disclosed that the patient had AML. Hanan did very well and was closest to the correct diagnosis.
Have a great weekend. Best wishes Phillip

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Tough case,,, Thanks Sir

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