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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 929 - 14th January 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 60 year old black woman with a shave biopsy from a lesion on the left lateral malar region.

Case posted by Dr. Mark Hurt


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Guest Dr.Yüksel Okumuş

Posted

Ochronosis with subepidermal blister (exogenously induced ?)

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Eman El-Nabarawy

Posted

Hydroquinone induced colloid millium and ochronosis.

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Guest Romualdo

Posted

Yes, hydroquinone induced exogenous ochronosis with subepidermal blister.

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Exogenous ochronosis plus subepidermal blister disease. Maybe the patient abused of hydroquinone for a subepidermal bullous skin disease like bullous lupus. Clinical history is very important.

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Robledo F. Rocha

Posted

Exogenous ochronosis, maybe a complication of antimalarial drug used for a photodermatitis.

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Dr. Mona Abdel-Halim

Posted

The best word that describes this case is what Dr Carr said: a big WOW :-))) exogenous ochronosis... Possibly complicating hydorquinone.

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