Jump to content
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 878 - 30th 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)
Back biopsy from a 27-year-old female. The clinical is “rule out pityriasis rosea.”

Case posted by Dr. Hafeez Diwan
picture-1
picture-2
picture-3
picture-4
  Report Record
Go to records October 2013

User Feedback


Guest Romualdo

Guest Romualdo

Posted

Guttate psoriasis. GMS is indicated for exclusion of fungal infection.

Share this comment

Link to comment
share_externally
IgorSC
Love inflammatory disease. I also agree with Guttate psoriasis. It is often a differential diagnosis with PR, but this last one does not show corneal neutrophils (unless associated with secondary infection) and there is a "mound-type" parakeratosis.
Guttate psoriasis more frequently shows spongiosis and less regular acanthosis.

Share this comment

Link to comment
share_externally
Guest Juan Carlos Garcés, Ecuador

Guest Juan Carlos Garcés, Ecuador

Posted

[u]Psoriasis, rule out superficial micosis[/u]

Share this comment

Link to comment
share_externally
Robledo F. Rocha

Robledo F. Rocha 336

Posted

Dermatitis with pityriasiform pattern showing extensive hypogranulosis, subcorneal spongiform pustule, and microabscesses at the summits of parakeratotic mounds. If GMS or PAS stain results negative for fungal organisms, the diagnosis should be guttate psoriasis, as pointed above by Dr. Romualdo and others.
I would be interested to learn about a history of recent streptococcal infection in this patient.

Share this comment

Link to comment
share_externally
Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

Yes, this is guttate psoriasis. There was no history of recent streptococcal infection.

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...