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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 915 - 20th December Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
No history

Case posted by Dr. Richard Carr.
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Go to records December 2013

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Guest Tiberiu Tebeica

Guest Tiberiu Tebeica

Posted

This biopsy was taken from a female patient with age over 40, presenting with red papules on her legs and/or hands. My histologic diagnosis is multinucleate cell angiohistiocytoma.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

First impression: multinucleate cell angiohistiocytoma,,, lovely :-)

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Guest Maria George

Guest Maria George

Posted

Epidermal hyperplasia overlying a thick wall capillary proliferations which show hobnailing .
I agree with Tiberiu and Mona.Capilary nevus is 2ed the dfferential.
By the way.The site needs Maintainance.I write the comments with geat difficulity.
Did other members feel the same?

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Guest Romualdo

Guest Romualdo

Posted

Agree with Tiberiu and Mona: multinucleate cell angiohistiocytoma.

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Guest Romualdo

Guest Romualdo

Posted

About yesterday's case, it would very instructive if we could see some photographs of the elastic stains!

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Guest Pedro Aleixo

Guest Pedro Aleixo

Posted

I favor multinucleate cell angiohistiocytoma. Mast cells are not prominent in this case.

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

Multinucleate cell angiohistiocytoma. Geometric-shaped multinucleated cells and dilated vascular spaces are characteristic.

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Sasi Attili

Sasi Attili 85

Posted

Seems like there is a consensus. Would be stupid for me to disagree on this spotter.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Yes no tricks from me today. I called the multinucleate cell angiohistiocytoma and I did not think you needed the history which proved correct but for the record:
M75. Dorsum L hand. ?Dermatofibroma ?scar tissue. 6 mm punch excision.
Enjoy your weekends and the festive season!!!!

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