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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 954 - 18th February Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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The patient is a 62 year old white woman with a shave biopsy of a new, tan papule taken from the right preauricular cheek.

Case posted by Dr. Mark Hurt


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Agree, Epidermolytic acanthoma. It is not surprising that, although different diseases, the histological alterations are similar to the observed in Epidermolytic hyperkeratosis since both have alterations in Keratin 1 and 10.

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Robledo F. Rocha

Posted

Given the case history of a solitary papule of recent onset, I go with epidermolytic acanthoma.

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