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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 708 - 4 Mar 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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90 years-old male with erythematous plaques, crusts and pustules on the hands.
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Go to records March 2013

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nick turnbull

nick turnbull 7

Posted

neutrophilic dermatosis of the hands (sweets)?

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Guest B
Neutrophilic dermatosis suggestive of Sweet's syndrome.

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

Diffuse neutrophilic infiltrate and nuclear dust throughout dermis with accentuation around swollen-walled vessels. There’s also epidermal hyperplasia and parakeratosis with serum crusts.
Clinical presentation suggests neutrophilic dermatosis of the dorsal hands, but as I didn’t find any evidence of vasculitis, I favor Sweet’s syndrome.
Lesions like that described here, resembling superficial pyoderma gangrenosum, enhance concern about underlying leukemia, although more widespread distribution should be expected in malignancy-associated cases.

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Sasi Attili

Sasi Attili 85

Posted

Neutrophilic dermatosis of the dorsal hands. But agree that it is in the same spectrum as Sweets and PG. Does the patient have rheumatoid arthritis?

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Guest
Agree neutrophilic dermatosis of the dorsum of hands which is considered in the spectrum of Sweet´s syndrome

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Guest MarieMD

Guest MarieMD

Posted

neutrophilic dermatosis of the hands...?assoc. occult malignancy or other systemic inflammatory disorder.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Neutrophilic dermatosis of dorsal hands.

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Guest MVMD
Neutrophilic dermatosis

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Hanan Vaknine MD

Hanan Vaknine MD 18

Posted

neutrophilic dermatosis of the hands

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Iskander H. Chaudhry

Iskander H. Chaudhry 49

Posted

This is a case of Sweet's syndrome.

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