Jump to content
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 1060 - 16th July Posted By: Admin_Dermpath

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

2 year-old male with lesion on scalp.

Case posted by Dr. Hafeez Diwan.


  Report Record

User Feedback


If this is an isolated lesion of the scalp it may be a Nuchal-type fibroma, but I liked the idea from Romualdo of an inherited disorder, in this case it could be a form of Hypohidrotic ectodermal dysplasia as we can still see some eccrine ductal elements.

Share this comment


Link to comment
share_externally

Dr. Mona Abdel-Halim

Posted

I think nuchal fibroma is more accepted here.

Share this comment


Link to comment
share_externally

Uma Sundram

Posted

This is a tough one! I also thought connective tissue nevus or 'en coupe de sabre' type scleroderma/morphea. In the third figure there seems to be some collagen 'cracking', could this be a deposition disorder?

Share this comment


Link to comment
share_externally

Robledo F. Rocha

Posted

Just as well that, even very late, I have the time to proffer a diagnosis for this challenging case.
I think the somewhat homogenized collagen bundles which are widely spaced may indicate abnormal elastic fibers between them. Connective tissue nevus and genodermatoses with localized decreasing of elastic fibers are my suggestions.

Share this comment


Link to comment
share_externally

Dr. Hafeez Diwan

Posted

The history was necessary in this case. The patient had an ulcerated lesion since birth. I called this aplasia cutis congenita.

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...