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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 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 :
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2 year-old male with lesion on scalp.

Case posted by Dr. Hafeez Diwan.
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Go to records July 2014

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IgorSC
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.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

I think nuchal fibroma is more accepted here.

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Uma Sundram

Uma Sundram 169

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?

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Robledo F. Rocha

Robledo F. Rocha 336

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.

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

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

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