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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 854 - 25th September 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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65-year-old female with lesions on the legs. This is a biopsy from the thigh.

Case posted by Dr. Hafeez Diwan.


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Guest Maria George

Posted

Erythema nodosum .The structure in the last image is Meischer Granuloma.

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Guest Saleem Taibjee

Posted

I also favour erythema nodosum, mixed septal inflammation picture

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Robledo F. Rocha

Posted

[font=arial,helvetica,sans-serif][size=4]Panniculitis displaying granulomata and sparse mixed inflammatory infiltrate within thickened septa. Granulation tissue with small collections of neutrophils and foamy macrophages can be found at the periphery of fat lobules.
I go with erythema nodosum, probably related to upper respiratory tract infection, drugs or [color=#000000]rheumatologic disease[/color], though I feel a little uncomfortable because [/size][/font][font=arial, helvetica, sans-serif]erythema nodosum[/font][font=arial,helvetica,sans-serif][size=4] is not typical for a patient in her sixties. [/size][/font]

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Guest Jim Davie MD

Posted

[size=4][font=arial,helvetica,sans-serif]Panniculitis with granulomatous and mixed neutrophilic and eosinophilic infiltrate.
Agree...Erythema nodosum is a reasonable diagnosis (without stains and/or additional clinical information to suggest otherwise). [/font][/size]

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Dr. Hafeez Diwan

Posted

Erythema nodosum. GMS and Fite stains were negative.

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