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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 776 - 7th June 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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41 years-old female, submucosal creamy plaques L and R. Lower lip/commissure regions.

Case posted by Dr. Richard Carr.
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Go to records June 2013

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Foreign body reaction to injected filler material

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Guest Dr Engin Sezer

Guest Dr Engin Sezer

Posted

Agree

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Guest Dr Graham Reilly

Guest Dr Graham Reilly

Posted

I agree FB reaction to filler.

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Guest Maria George

Guest Maria George

Posted

This is reaction to filler.there is a recent review by dr requena is very helpful to know the histpath of each materials used in the fillers.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Does the reveiw help you identify the filler in this case Maria?

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

Foreign body granulomatous reaction against bluish amorphous injected filler. Agree with Dr. Hurt that the most likely filler is hyaluronic acid gel.

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

[quote name='Guest' timestamp='1370602781']
This is reaction to filler.there is a recent review by dr requena is very helpful to know the histpath of each materials used in the fillers.
[/quote]
I think Dra. Maria George is referring to [url="http://download.journals.elsevierhealth.com/pdfs/journals/0190-9622/PIIS0190962210006973.pdf"]this[/url] paper. It’s the same one that I mentioned in a comment on Case 753, on 7th May 2013.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

On pressing the patient finally admitted to intra-oral injection of 'Radiesse' (Radiesse ® (BioForm Inc., Franksville, WI, USA) a "biocompatible" product that consists of calcium hydroxapetite, CaHA microspheres suspended in a carboxymethylcellulose gel. I e-mailed Dr Requena and we think there may also be separate hyaluronic acid here as suggested by Mark - well done!! I am guessing you guys see a lot more than us in the UK although I have noted an increase in the last few years.

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Guest Jim Davie MD

Guest Jim Davie MD

Posted

Cosmetics patients may go for a different 'product of the week' when they get touch ups ....nice to see a case of two mixed patterns. Seems a rare occurrence (at least in my patient base).

Anyone have an opinion as to what percentage of filler biopsies show two or more different cosmetic fillers at once?

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Guest Esmeralda Muñoz Arcos

Guest Esmeralda Muñoz Arcos

Posted

Reacción granulomatosa tipo cuerpo extraño con material amorfo inyectado como relleno que puede correponder a gel de ácido hialurónico .

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