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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 955 - 19th February 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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55 year-old female with lesions on her face, one of which was biopsied.

Case posted by Dr. Hafeez Diwan.


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Guest Romualdo

Posted

Bandlike necrobiotic granulomatous inflammation, giants cells, cholesterol clefts and plasma cells: necrobiotic xanthogranuloma.

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Guest Amira Tawdy

Posted

Annular elastolytic giant cell granuloma ( actinic granuloma previously) needs elastic tissue stain to d.d from granuloma annulare

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Dr. Mona Abdel-Halim

Posted

Cholesterol clefts within necrobiotic zones points to NXG...

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Guest Dr.Yüksel Okumuş

Posted

Agree with necrobiotic xanthogranuloma

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Necrobiotic xanthogranuloma. Is there a history of multiple myeloma?

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Robledo F. Rocha

Posted

[size=4][color=#000000][font=Arial, sans-serif]The presence of foamy histiocytes in palisaded array around extensive collagen degeneration and many cholesterol clefts is indicative of necrobiotic xanthogranuloma. Facial site is likely to be the periorbital region. Patient should be screened for paraproteinemia, bearing in mind that necrobiotic xanthogranuloma may precede detectable serum paraprotein.[/font][/color][/size]

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Guest Tiberiu Tebeica

Posted

I also think this is necrobiotic xanthogranuloma.

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