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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 827 - 19th August Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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12 year old boy with 3mm punch of spongy, pink nodules on the posterior scalp. There is a similar condition in the mother and grandfather.

Case posted by Dr. Mark Hurt.


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Wolter Mooi

Posted

Cylindroma, in context of familial cylindromatoisis / Brooke-Spiegler syndrome (inactivating CYLD germline mutation)

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Guest Saleem Taibjee

Posted

I agree with Dr Mooi. The lower right image shows some spiradenomatous aspects. Hybrid features of cylindroma/spiradenoma are particularly well-recognised in Brooke-Spiegler

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Robledo F. Rocha

Posted

Cylindroma / spiradenoma overlap, a feature associated with Brooke-Spiegler syndrome, corroborated by the case history of a turban tumor and familial similar lesions.

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Dr. Mona Abdel-Halim

Posted

Cylindroma/spiradenoma. Brooke Spiegler

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Guest Jim Davie MD

Posted

Agree with mixed spiradenoma / cylindroma ('spiradenocylindroma' as described by some authors) associated with Brooke-Spiegler syndrome by familial history and presentation of multiple nodules.[size=4] [/size]

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I think the pattern resembles mostly a Cylindroma, but with some features of Spiradenoma. It can be Brooke Spiegler or Familial Cylindromatoisis. Both have autosomal dominant pattern as we can see by the family history.

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Guest Tiberiu Tebeica

Posted

familial cylindromatosis / Brooke-Spiegler syndrome

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Mark A. Hurt MD

Posted

The diagnosis was cylindroma, and the patient has the Brooke-Spiegler syndrome. In looking closer at this case, I think, in retrospect, that there are spiradenoma-like elements in it.

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