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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 733 - 8 Apr 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 aged 40 years with a facial rash.


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Guest Giedrius Salkus

Posted

I would sign this out like "consistent with rosacea of granulomatous type".

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Sarcoidosis vs granulomatous rosacea vs lupus disseminatie facie (TB)

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Guest Bansal_

Posted

Favour granulomatous rosacea.

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Guest Dr Engin Sezer

Posted

Granulomatous rosacea

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Sasi Attili

Posted

Granulomatous Rosacea. DD would include other granulomatous/ infective causes. Based on CPC, further staining for organisms might be indicated.

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Dr. Mona Abdel-Halim

Posted

Favor granulomatous rosacea since the granuloma is tuberculoid in type with no cassation necrosis. Some dilated vessels can be seen together with the remaining perivascular and perifollicular infiltrate.

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Guest Dr sameh abdelkodous

Posted

G. rosacea vs sarcoidosis

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Robledo F. Rocha

Posted

Infundibulocentric tuberculoid granuloma. I favor granulomatous rosacea or its extensive papular variant called lupus miliaris disseminatus faciei.

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Guest Graham Reilly

Posted

Graham Reilly - Granulomatous rosacea.

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Guest Luis Fernando Cárdenas

Posted

Lupus Miliaris Disseminatus Faciei

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Guest Maria Antonia Pastor

Posted

Lupus miliaris disseminatus faciei

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Dr. Phillip McKee

Posted

Well done. You are all correct. The diagosis is granulomatous rosacea.

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