Jump to content
In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 859 - 2nd October Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

74 year-old male with a rash on his abdomen.

Case posted by Dr. Hafeez Diwan.


  Report Record

User Feedback


Guest Romualdo

Posted

Despite the somewhat extensive suprabasal acantholysis I think Grover's disease is the first possibility.

Share this comment


Link to comment
share_externally

Guest Marwa Fawzy

Posted

Superficial pemphigus .Need IF to confirm

Share this comment


Link to comment
share_externally

Guest Saleem Taibjee

Posted

Differential diagnosis is Grovers vs Pemphigus foliaceous. Clinical correlation and IMF required.

Share this comment


Link to comment
share_externally

Mark A. Hurt MD

Posted

I added the image links for [url="https://dermpathpro.com/spot-diagnosis-1/_/free-spot-diagnosis-oct-2013/october-2013/case-858-1st-october-r887"]Case 858[/url] from yesterday.

MAH

Share this comment


Link to comment
share_externally

Sasi Attili

Posted

My initial impression was pemphigus (foliaceous, as the acantholysis appears superficial). The acantholysis is a bit too extensive for grovers, but CPC/ DIF required.

Share this comment


Link to comment
share_externally

Guest Giovanni Falconieri

Posted

Favor Grover, yet agree with the differential above

Share this comment


Link to comment
share_externally

Dr. Mona Abdel-Halim

Posted

Pemphigus, combined features of superficial and vulgaris types

Share this comment


Link to comment
share_externally

Guest Jim Davie MD

Posted

I lean towards Grover disease (pemphigus foliaceous / Darier variant).

Clinical data would be important: papular or papulovescicular vs plaque/patch, for helping differentiate Grover disease vs. a pemphigus variant. We are assuming this is a novel eruption. Agree with the above differentials in this regard, with DIF if clinically/histologically equivocal.

Share this comment


Link to comment
share_externally

Robledo F. Rocha

Posted

I found more than one pattern of acantholysis, what make me favor Grover's disease. Lesions reaching a size that is larger than only a few rete ridges might crop up as well. In addition, abdominal region is a typical site for Grover's disease.

Share this comment


Link to comment
share_externally

Dr. Hafeez Diwan

Posted

Grover's disease. This is what the clinical impression was as well.

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...