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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 1090 - 27th August 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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80 year-old male with erythematous lesions on trunk and extremities.

Case posted by Dr. Hafeez Diwan.
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Go to records August 2014

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

Four diagnoses came to my mind: acute generalized exanthematous pustulosis, acute generalized pustular psoriasis of von Zumbusch, IgA pemphigus, and subcorneal pustular dermatosis of Sneddon and Wilkinson. The presence of mild spongiosis and mixed cell infiltrate in superficial dermis make me favor the first one.

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Guest Romualdo

Guest Romualdo

Posted

I go with acute generalized pustular psoriasis of von Zumbusch.

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IgorSC
My first thought was AGEP, based on the age of the patient and probably using some medications.

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Guest
AGEP vs. pustular psoriasis. Even if one believes that these are two separate diseases, separating the two is not possible microscopically.

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

My differential was the same, but clinically, this was contact dermatitis, without any pustules. So I raised the possibility of contact dermatitis with neutrophilic spongiosis and pustules.

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