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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 753 - 7th May 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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Female 48 years with a granulomatous lesion on the face.
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Go to records May 2013

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Guest Romualdo C. L. Filho

Guest Romualdo C. L. Filho

Posted

Granulomatous reaction to cosmetic filler, possibly hyaluronic acid.

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Sasi Attili

Sasi Attili 85

Posted

[quote name='Guest' timestamp='1367918527']
Granulomatous reaction to cosmetic filler, possibly hyaluronic acid.
[/quote]
agree

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Guest Rodrigo Restrepo

Guest Rodrigo Restrepo

Posted

Agree, granulomatous reaction to cosmetic filler

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

Foreign-body granulomata against cutaneous implant, probably injected with cosmetic purpose.
Once (29 Jan 2013) I suggested a review about this topic. Now I’d like to suggest a more recent one:
Requena L et al. Adverse reactions to injectable soft tissue fillers. J Am Acad Dermatol 2011;64:1-34.
[url="http://download.journals.elsevierhealth.com/pdfs/journals/0190-9622/PIIS0190962210006973.pdf"]http://download.jour...62210006973.pdf[/url]

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Guest Dr Engin Sezer

Guest Dr Engin Sezer

Posted

Deposits of bluish hue with fibrosis and granulomatous tissue response suggestive of foreign body reaction to filler material.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Yes, granulomatous reaction to filler material...

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Guest
Agree with everyone! I was really late...

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Guest Jim Davie MD

Guest Jim Davie MD

Posted

Agree : a deep dermal polymer filler injection with impressive palisading foreign body granulomatous reaction, and fibrosis.
This lesion has some very impressive foreign body giant cells, some with multiple asteroid bodies.
Looks like this filler injection has been around for a *very* long time. As has the patient, if the marked solar elastosis in the superficial dermis is any indicator...
[i]Great article, Dr. Rocha, thanks for sharing![/i]

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Iskander H. Chaudhry

Iskander H. Chaudhry 49

Posted

That is correct, it was a granulomatous reaction to hyaluronic acid filler.

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