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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 795 - 4th July 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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19 years-old male with a cyst of the penis at the urethral meatus.

Case posted by Dr. Hafeez Diwan.


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Dr. Mona Abdel-Halim

Posted

Median raphe cyst

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nick turnbull

Posted

Agree, Median raphe cyst.

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Mark A. Hurt MD

Posted

Median raphe cyst, I believe with ciliated cells -- which has been described.

http://www.ncbi.nlm.nih.gov/pubmed/7499581

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Guest Saleem Taibjee

Posted

Agree with median raphe cyst.
Sorry, I don't regularly check this site.
But I had thoughts about yesterday's case which I thought would be worth mentioning belatedly:
I am also wondering about pretibial lymphoedematous mucinosis. This is usually in the context of obesity, and is distinguished from pretibial myxoedema by absence of thyroid disease and by the vertically orientated vessels.
I remembered it was presented at one of the ISDP meetings by Dr Rongioletti.
Here is a reference:
[url="http://www.ncbi.nlm.nih.gov/pubmed/19222694#"][color="#0f72da"]J Cutan Pathol.[/color][/url] 2009 Oct;36(10):1089-94. doi: 10.1111/j.1600-0560.2008.01239.x. Epub 2009 Feb 10. Obesity-associated lymphoedematous mucinosis.
[url="http://www.ncbi.nlm.nih.gov/pubmed?term=Rongioletti%20F%5BAuthor%5D&cauthor=true&cauthor_uid=19222694"][color="#0f72da"]Rongioletti F[/color][/url], [url="http://www.ncbi.nlm.nih.gov/pubmed?term=Donati%20P%5BAuthor%5D&cauthor=true&cauthor_uid=19222694"][color="#0f72da"]Donati P[/color][/url], [url="http://www.ncbi.nlm.nih.gov/pubmed?term=Amantea%20A%5BAuthor%5D&cauthor=true&cauthor_uid=19222694"][color="#0f72da"]Amantea A[/color][/url], [url="http://www.ncbi.nlm.nih.gov/pubmed?term=Ferrara%20G%5BAuthor%5D&cauthor=true&cauthor_uid=19222694"][color="#0f72da"]Ferrara G[/color][/url], [url="http://www.ncbi.nlm.nih.gov/pubmed?term=Montinari%20M%5BAuthor%5D&cauthor=true&cauthor_uid=19222694"][color="#0f72da"]Montinari M[/color][/url], [url="http://www.ncbi.nlm.nih.gov/pubmed?term=Santoro%20F%5BAuthor%5D&cauthor=true&cauthor_uid=19222694"][color="#0f72da"]Santoro F[/color][/url], [url="http://www.ncbi.nlm.nih.gov/pubmed?term=Parodi%20A%5BAuthor%5D&cauthor=true&cauthor_uid=19222694"][color="#0f72da"]Parodi A[/color][/url].

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Robledo F. Rocha

Posted

I'm late, but not too late to agree with all: median raphe cyst.

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Robledo F. Rocha

Posted

[quote name='Saleem Taibjee' timestamp='1372938422']
I had thoughts about yesterday's case which I thought would be worth mentioning belatedly:
I am also wondering about pretibial lymphoedematous mucinosis.
[/quote]
Please check yesterday's spot diagnosis to read a comment from me.

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