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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 1004 - 29th April 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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The patient is a 76-year-old man with a shave biopsy taken from the right great toe.

Case posted by Dr. Mark Hurt.
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Go to records April 2014

User Feedback


nick turnbull

nick turnbull 7

Posted

Im still thinking, but I see acral skin, prominent vasculature and extravasated blood cells, amorphous material, but I wondered if i saw synovium and finally cartilage/bone? I was wondering about osteoma cuits related to the vascular changes or an old mucoid cyst...probably way off but would love some feedback/direction.

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Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

I like the suggestion of osteoma cutis!! But what about the adult form of juvenile hyaline fibromatosis localized to the foot?

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

I was thinking of digital mucus cyst too or metaplastic syonvial cyst. There is cartilage so assumed this must be close to a joint. I suppose it could be from the top of an osteochondroma but clinical correlation would be required and would be odd to have quite such a superficial biopsy.

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