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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 1520 - 21 April 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)
47 year-old female with biopsy of single lesion from right instep.

Dr Hafeez Diwan.
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  Report Record
Go to records April 2016

User Feedback


Raul Perret

Raul Perret 262

Posted

I am struggling with this one, the overall histology as well as the clinical history makes me consider acrodermatitis chronica atrophicans in first place (maybe early presentation as atrophy is not present) but of course I would talk with the clinicians first, other thoughts were secondary syphilis (dont think so) and dermatophyte infection (doubt it) but would still perform special stains.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Thought of secondary syphilis but the biopsy is siperficial to assess depth of infiltrate

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Nitin Khirwadkar

Nitin Khirwadkar 63

Posted

Fungal infection and secondary syphillis come to mind.

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vincenzo polizzi

vincenzo polizzi 185

Posted

Difficult case, with an overall feature consistent with secondary syphilis...but so many epidermal and dermal neutrophils?  

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Arti Bakshi

Arti Bakshi 286

Posted

Single lesion on instep also odd for syphilis, but can't come up with any other ideas!!

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

Secondary syphilis.  The spirochete antibody showed numerous organisms and the RPR is positive as well.  Patient is responding well to antibiotic.

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