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 965 - 5th March Posted By: Guest

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

47 year-old female with papules on forearms, hands and neck. This biopsy is from the forearm.

Case posted by Dr. Hafeez Diwan.


  Report Record

User Feedback


Robledo F. Rocha

Posted

Polymorphous light eruption.

Share this comment


Link to comment
share_externally

Dr. Richard Carr

Posted

Purely on the histology my first reaction was cold injury / pernio. I like the suggestion of PLE (but I have very rarely seen that in real life) and I will throw in lupus (tinge of mucin).

Share this comment


Link to comment
share_externally

Guest Jim Davie MD

Posted

Agree with Polymorphous light eruption.
Superficial and deep perivascular mononuclear infiltrate with sparse eosinophils, marked pseudo-bullous papillary dermal edema, reactive keratinocyte changes, and a new parakeratotic stratum suggestive of recent, acute onset.
Clinical suggests symmetrical sun-exposed sites. The differential might otherwise include arthropod assault reaction.

Share this comment


Link to comment
share_externally

Guest Tiberiu Tebeica

Posted

I also thought initially that this resembles pernio pretty well, but after seeing the clinical description, I favor PMLE.

Share this comment


Link to comment
share_externally

Dr. Hafeez Diwan

Posted

I apologize for the delay. I was having computer problems and couldn't log on earlier. Regarding the diagnosis, I called it PMLE as well.

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...