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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 727 - 29 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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70 years-old male. Panniculitis left lower leg. Diag. PAN 4 years ago. New area biopsies. Recurring on reducing immunosuppression. ANCAs were negative.

Case posted by Dr. Richard Carr.
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Robledo F. Rocha

Robledo F. Rocha 336

Posted

I think it is nodular vasculitis, since the mixed cell infiltrate is present within arterial walls and also gives rise to an extensive lobular panniculitis.
In polyarteritis nodosa the infiltrate is expected to involve scantly the fat lobules that surround the affected artery.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

I am favoring nodular vasculitis because the inflammation is extensively involving the fat lobules and not limited only to the vicinity of the involved vessel.

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Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

Nodular vasculitis.

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Guest Maria isabel

Guest Maria isabel

Posted

PAN periarteritis nodosa

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

This is a case of Polyarteritis nodosa (skin limited).

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