Jump to content
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 917 - 24th 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)
The patient is a 34 year old man with a shave biopsy of a tender nodule, present for two days, taken from the right second digit.


Case posted by Dr. Mark Hurt
picture-1
picture-2
picture-3
picture-4
  Report Record
Go to records December 2013

User Feedback


Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

Viral cytopathic changes affecting the hair follicle, epidermal hyperplasia with elongated rete ridges, dense inflammatory infiltrate..Milker's nodule(mature lesion).

Share this comment

Link to comment
share_externally
Guest Tiberiu Tebeica

Guest Tiberiu Tebeica

Posted

This is an acute inflammatory poxvirus infection, probably milker's nodule. Orf is in the differential, but there is a lack of ballooning degeneration usually seen with orf lesions.

Share this comment

Link to comment
share_externally
Guest Maria George

Guest Maria George

Posted

Periniosis, syphilis, lupus, and MF are the differential here.
I wil be interest in more history and deeper cut or resampling.

Share this comment

Link to comment
share_externally
Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Evolving pox virus infection; Milker's nodule/Orf

Share this comment

Link to comment
share_externally
Guest Romualdo

Guest Romualdo

Posted

Viral cytopathic changes. Herpes virus infection (herpetic whitlow) and milker's nodule, especially the first, based on the pseudolymphomatous (I hope!) infiltrate and the presence of one keratinocyte with ground glass chromatin better seen in figure 3.

Share this comment

Link to comment
share_externally
Guest Juan Carlos Garcés, Ecuador

Guest Juan Carlos Garcés, Ecuador

Posted

Milker's nodule/Orf.
Happy holidays everyone!

Share this comment

Link to comment
share_externally
Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

I also thought of herpetic whitlow but the clinical presentation( nodule) made me favor the Milker's nodule diagnosis.

Share this comment

Link to comment
share_externally
Robledo F. Rocha

Robledo F. Rocha 336

Posted

Poxvirus infection with beautiful Guarnieri bodies in the follicular epithelium. Case history favors milker’s nodule / orf.

Share this comment

Link to comment
share_externally
Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Ruptured molluscum with pseudolymphomatous reaction...

Share this comment

Link to comment
share_externally
Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

MERRY CHRISTMAS every body :-)) wish you all happy holidays :-))

Share this comment

Link to comment
share_externally
Robledo F. Rocha

Robledo F. Rocha 336

Posted

Quoting Rapini: "The very best special stain in dermatopathology is deeper levels sectioned through the block!"
Merry Xmas to all colleagues and to the staff of DermpathPRO.

Share this comment

Link to comment
share_externally


Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
×

×
×
  • Create New...