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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 958 - 24th February Posted By: Admin_Dermpath

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 34 year old black woman with punch biopsies for H&E microscopy and direct immunofluorescence of well-demarcated, atrophic plaques with scale and scarring taken from A and B- the left superior parietal scalp.

Case posted by Dr. Mark Hurt


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DLE. I can also see thick colagen fibers extending and replacing the subcutaneous fat tissue, then the DLE may be associated with Scleroderma. The straight edges of the punch biopsy are also a tip to Scleroderma.

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Robledo F. Rocha

Posted

[size=4][color=#000000][font=Arial, sans-serif]Scarring alopecia due to lupus erythematosus.[/font][/color][/size]

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Guest Maria George

Posted

Basment membrane so thick clear with no need for PAS.Immunoglobuins must be very strong there.Agree DLE.

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Dr. Mona Abdel-Halim

Posted

Amazing beautifully demonstrated DLE

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Mark A. Hurt MD

Posted

Here is the DIF:

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE958_Image%2005.jpg[/img]

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE958_Image%2006.jpg[/img]

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE958_Image%2007.jpg[/img]

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE958_Image%2008.jpg[/img]

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Mark A. Hurt MD

Posted

My diagnosis was Discoid Lupus Erythematosus.

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