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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 697 - 15 Feb 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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68 years-old male. Skin right forearm ?Scleroderma (atypical) ?systemic sclerosis and
scleroderma. Scl 70 negative, tight skin face peri-oral arms legs and trunk.

Case posted by Dr. Richard Carr, courtesy of Dr. Saleem Taibjee.
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  Report Record
Go to records February 2013

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Fibroblast proliferation, thick collagen bundles with mucin deposition (widened spaces between collagen bundles), scleromyxedema.

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

There is irregular proliferation of fibroblasts and increased collagen deposition with whorled pattern. Clear spaces [color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]between collagen bundles [/size][/font][/color]seem to be deposits of mucin. As involvement of the subcutis is lacking (characteristic of nephrogenic systemic fibrosis), my diagnosis is [i]scleromyxedema[/i]. Clinical features support this hypothesis.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

I am going to have to stop giving clinical information you are all too good!!

Scleromyxedema was our diagnosis.

Regards to all and enjoy your weekends.

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