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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 723 - 25 Mar 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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History of an indurated plaque on the left buttock, age and sex unknown.
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Go to records March 2013

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Guest Hazem Hamed

Guest Hazem Hamed

Posted

Multiple dermal well formed discreet non-necrotizing epithelioid granulomata with giant cells and rimmed by lymphocytic infiltrate. No vasculitis is seen. Usual DD of cutaneous granulomata for special stains, microbiology, chest X-ray, serum ACE, Ca to exlude infections, sarcoidosis, FB
Also history is imoprtant e.g Crohn's dieaase. (Cutaneous granulomata in crohn's disease my preceed bowel involvment).

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Sasi Attili

Sasi Attili 85

Posted

[quote name='Hazem Hamed' timestamp='1364206471']
Multiple dermal well formed discreet non-necrotizing epithelioid granulomata with giant cells and rimmed by lymphocytic infiltrate. No vasculitis is seen. Usual DD of cutaneous granulomata for special stains, microbiology, chest X-ray, serum ACE, Ca to exlude infections, sarcoidosis, FB
Also history is imoprtant e.g Crohn's dieaase. (Cutaneous granulomata in crohn's disease my preceed bowel involvment).
[/quote] Agree.

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

Noncaseating granulomas with lymphocytes in deep dermis and extending into subcutis. Site is suggestive of cutaneous Crohn disease.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Agree, from the clinical point of view will favor foreign body granulomatous reaction (injection ?) or crohn's ..

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Guest
I would include in the differential diagnosis cutaneous tuberculosis vs Crohn´s vs foreign body granulomatous dermatitis vs sporotrichosis

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Guest Maria Antonia Pastor

Guest Maria Antonia Pastor

Posted

Tuberculosis verrucosa vs Crohn' s disease vs foreign body granulomas

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Guest Miria

Guest Miria

Posted

Chohn's disease vs foreign body granulomatous disease

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Guest vimande

Guest vimande

Posted

Granulomatous Immflamation with Giant cell reaction to foreing body.

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Iskander H. Chaudhry

Iskander H. Chaudhry 49

Posted

Thanks for all your comments and DDs. This was a case of tuberculosis.

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Guest Gomijor

Guest Gomijor

Posted

micosis infeccion vs sarcoidosis

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