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 1087 - 22nd August 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)
F30. Acute onset of blisters limited to arms and hands (case c/o Dr Niamh Leonard)

Case Posted by Dr Richard Carr
picture-1
picture-2
picture-3
picture-4
  Report Record
Go to records August 2014

User Feedback


Arti Bakshi

Arti Bakshi 286

Posted

Confluent epidermal necrosis. There is some basal vacuolar change at the junction of viable and necrotic epidermis, but cannot see established inteface change in these images. Therefor would consider other differentials in addition to bullous EM, ?viral (need special stains) ?irritant contact dermatitis

Share this comment

Link to comment
share_externally
Guest
Irritant contact dermatitis is a good suggestion. I confess I didn't think of it, because I have never seen it.

Share this comment

Link to comment
share_externally
Robledo F. Rocha

Robledo F. Rocha 336

Posted

Non-inflammatory subepidermal blister with epidermal necrosis favoring thermal injury caused by burns or cryotherapy and, less likely due to restriction of the lesions to distal limbs, toxic epidermal necrolysis.

Share this comment

Link to comment
share_externally
Dr. Richard Carr

Dr. Richard Carr 622

Posted

A clue. Developed after cooking out doors.

Share this comment

Link to comment
share_externally
Guest
Phototoxic contact dermatitis / phototoxic dermatitis

Share this comment

Link to comment
share_externally
Robledo F. Rocha

Robledo F. Rocha 336

Posted

Given the clue, I go with acute phytophototoxic dermatitis.

Share this comment

Link to comment
share_externally
Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

With the clue, I also agree with acute phototoxic dermatitis

Share this comment

Link to comment
share_externally
Dr. Richard Carr

Dr. Richard Carr 622

Posted

Yes this was a phytophotoxic dermatitis due to cutting limes in direct sunlight. Apologies for delay there was a national holiday in UK and I wanted to leave a little more time on Friday.

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...