In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 913 - 18th December 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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Patient is a Newborn. Forty week vaginal delivery. APGARs 1, 5, 7 at one, five and ten minutes. Meconium staining of amniotic fluid. No cooling devices used on patient. Skin Biopsy.

Case posted by Dr. Omar P. Sangueza.


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Iskander H. Chaudhry

Posted

[font="arial, sans-serif"]We are delighted to have a new DermpathPRO senior editor and contributor to the site, Dr Omar Sangueza, Professor of Pathology at Wake Forest Baptist Medical Center. I am sure you will all know him as he has a distinguished career. He is a past ISDP President and current Editor-in-Chief of The American Journal of Dermatopathology. He is the author of a well known book, "Pathology of vascular skin lesions" and ad hoc referee of several journals. He is h[/font][font=arial,sans-serif]onorary professor at University of Montevideo, Uruguay. His publications include over [/font][font=arial,sans-serif]170 peer reviewed articles, over 50 non-peer reviewed articles and m[/font][font=arial,sans-serif]ore than 10 book chapters. He has also trained 48 national and international fellows. Today's case has been submitted by him. [/font]

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Guest Romualdo

Posted

Crystal-related panniculitis: subcutaneous fat necrosis of the newborn or poststeroid panniculitis, the latter if a history of discontinuation of oral corticosteroids is elicited.

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Guest Romualdo

Posted

Congratulations do DermpathPRO for the distinguished contributor! Welcome Dr. Omar Sangueza!

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Subcutaneous fat necrosis of the newborn.[font="arial, verdana, tahoma, sans-serif"][color="#1c2837"][size=4] ([/size][/color][/font]Welcome Dr. Sangueza.)

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Guest Tiberiu Tebeica

Posted

Beautifully illustrated case of subcutaneous fat necrosis of the newborn.
And a very warm welcome for dr. Sangueza!

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Robledo F. Rocha

Posted

[quote name='Romualdo' timestamp='1387362688']
Crystal-related panniculitis: subcutaneous fat necrosis of the newborn or poststeroid panniculitis, the latter if a history of discontinuation of oral corticosteroids is elicited.
[/quote]
I couldn't write it better!
I'd like to welcome Dr. Sangüeza and congratulate DermpathPRO for bringing an internationally distinguished professor as our new contributor.

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Mark A. Hurt MD

Posted

A stunningly photographed case! Omar, I am thrilled that you are joining us at DermpathPRO. The bar has been raised, and all of us now have the good fortune of your thinking and experience in all matters dermatopathological. Welcome, and enjoy! I believe you'll find this panel quite challenging.

Best to you from

Mark

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Guest Maria George

Posted

needleshaed crystal can be seen in slclerema neonaorum and SCFT of new born .The difference is the inflammation.The child in the former is sick , so no inflammation.
Welcome and Thank to the Great Professior Omar.

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Agree, Crystal-related panniculitis with differential diagnosis of Poststeroid panniculitis or Subcutaneous fat necrosis of the newborn. The presence of moderate inflammation and crystals in the macrophages argues against Sclerema neonatorum. Clinical information is needed for final diagnosis.

I´m very excited Dr. Omar Sangüeza is now with us. Welcome!

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Dr. Richard Carr

Posted

Dear Dr Sangueza - what a seasonal cracker of a first case to join the dermpathpro community. Warmest regards and very much looking forward to your contributions to the site.

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Eman El-Nabarawy

Posted

Subcutaneous fat necrosis of the newborn vs poststeroid panniculitis.
Welcome Dr. Sangueza.

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Dr. Mona Abdel-Halim

Posted

Welcome Dr Omar Sangueza,,,, it is a great honor to have you in Dermpathpro.... I remember meeting with you in Frankfurt during the ICDP exam... Looking forward for your interesting contributions.. This is a lovely case of subcutaneous fat necrosis of the newborn... Definitely post steroid panniculitis can also produce this crystal panniculitis but being newborn, I think subcutaneous fat necrosis of the newborn is more likely here...

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Guest Rodrigo Restrepo

Posted

Subcutaneous fat necrosis of the newborn. Bienvenido Dr. Sangueza. I am both proud and delighted to welcome you to Dermpathpro.You are a great example for all Latin American dermatopathologists!!!

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Guest Juan Carlos Garcés, Ecuador

Posted

Subcutaneous fat necrosis of the newborn. Wellcome Omar and thankyou for sharing your beautiful cases

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Guest Jim Davie MD

Posted

Welcome Dr. Sangueza! Looking forward to your educational contributions to DermpathPRO!

Subcutaneous fat necrosis of the newborn.
Steroid panniculitis is in the differential with subcutaneous fat necrosis of the newborn, with a clinical correlation for history of steroid administration required for reliable differentiation. Given a clinical history of a full-term infant with possibly difficult delivery, but fair to good APGAR score recovery at 5 and 10 min, I would not expect that steroids would been administered (unless this is an older case from a few years ago, in which the administration of steroids for treatment of meconium aspiration syndrome was a more common practice).

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Guest Luis Fernando Cardenas

Posted

Omar! I am really glad to have you here... I really miss a lot Winston Salem
and agree with You all, I think is subcutaneous fat necrosis of the newborn

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Dear all. Sorry for the late post but I am getting use to the system!

Thank you so much for your kind comments, from my friends, colleagues, and past fellows. I look forward to contributing to this great site and will share with you my experience and also learn from you all. As you all rightly say the diagnosis in this interesting case is Subcutaneous fat necrosis of the newborn.

Omar

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