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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 1158 - 1st December 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 36 year old white man with an excision of a raised AV malformation that gets smaller with exercise, present two years, taken from the lateral helical rim of the left ear.

Case posted by Dr. Mark Hurt


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Dr. Mona Abdel-Halim

Posted

Cirsoid aneurysm (arteriovenous hemangioma)

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Robledo F. Rocha

Posted

[size=4][font=arial,helvetica,sans-serif][url="http://journals.lww.com/ajsp/pages/articleviewer.aspx?year=1998&issue=05000&article=00001&type=abstract"]Glomangiopericytoma or myopericytoma[/url].[/font][/size]

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Dr. Mona Abdel-Halim

Posted

Yes, I think u r correct... I misinterpreted this ...

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Mark A. Hurt MD

Posted

My diagnosis was different:

SKIN, LEFT EAR LATERAL HELICAL RIM:
[b]-- ANGIOLEIOMYOMA WITH FAT (ANGIOLIPOLEIOMYOMA)[/b]
[indent=1][b]COMMENT:[/b] Some similar lesions have been described with these features, and a recent publication of these kinds of lesions has shown involvement on the ear. From the literature cases, none have been associated with tuberous sclerosus. Notably, the lesions that lack HMB-45 in the skin do not appear to be associated with angiomyolipoma of the kidney.[/indent]


[center]Reference[/center]


Beer TW. Cutaneous angiomyolipomas are HMB45 negative, not associated with tuberous sclerosis, and should be considered as angioleiomyomas with fat. Am J Dermatopathol. 2005 Oct;27(5):418-21. PubMed PMID: 16148412.

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