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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 683 - 25 Jan 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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26 years-old male. Non-palpable purpura, non-blanching. ?Vasculitis. ?Erythema nodosum. 10 year history of recurrent aphthous ulcers. Iritis, benign intracranial hypertension, genital ulcers.

Case posted by Dr. Richard Carr.
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Guest
[color=#000000]Dermal granulomas with fibrin. The history is that of Behcet's disease.[/color]

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Sasi Attili

Sasi Attili 85

Posted

Thrombotic vasculopathy with lobular panniculitis (probably): history suggests Behcets.

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Guest Dr Engin Sezer

Guest Dr Engin Sezer

Posted

Behçet's disease

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nick turnbull

nick turnbull 7

Posted

Bechets. thrombophlebitis?

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Thrombotic vasculopathy, Clinical correlation coincide with Behcet's.

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

A superficial and deep perivascular and interstitial inflammatory (mixed???) infiltrate, a lobular panniculitis resembling nodular vasculitis, and an amazing thrombophlebitis. These are some histopathologic features in this case that, albeit nonspecific, the diagnosis of Behçet disease can be construed, once clinical history strongly suggests this condition.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Most of you diagnosed Bechet's based on the history - as a pathologist
by training I would have found that difficult so well done!
I reported the case as a thromobotic vascuolopathy (the long history of other
conditions only came to light after reporting the biopsy and indeed suggested Bechet's).
I wanted you to appreciate that in coagulopathies you can have quite prominent
inflammatory infiltrates as a seondary process that can mimic vasculitis
(I have certainly made the mistake of calling a coagulopathy a vasculitis).

Regards to all and enjoy your weekends.

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Guest Jim Davie MD

Guest Jim Davie MD

Posted

Agree with , Behcet's on (almost too good to be true!) classic history alone. Supported by (albeit non-specific) thrombophlebitis and presumed mixed vs. chronic inflammatory dermal/pannicular infiltrate.

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