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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 : 1136 - 30th October Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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59 year-old female with pink macular rash on her lower extremities. This biopsy is from the right hip.

Case posted by Dr. Hafeez Diwan.


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i see foci of epidermotropic lymphocytes and some extravasated RBCs, could it be purpuric MF???

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Dr. Mona Abdel-Halim

Posted

I am thinking of an early phase of a pigmented purpuric dermatitis. I think the lymphocytes along the DEJ are part of interface changes that may accompany pigmented purpuric dermatosis, which also goes with the clinical picture of pink macular rash. Pearl's stain is needed.

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Robledo F. Rocha

Posted

[color=#000000][font=Arial, sans-serif][size=4]Superficial perivascular [/size][/font][/color][color=#000000][font=Arial, sans-serif][size=4]and interface [/size][/font][/color][color=#000000][font=Arial, sans-serif][size=4]lymphocytic infiltrate associated with extravasated [/size][/font][/color][color=#000000][font=Arial, sans-serif][size=4]erythrocytes consistent with [/size][/font][/color][color=#000000][font=Arial, sans-serif][size=4]pigmented purpuric dermatitis variant lichenoid of Gougerot-Blum.[/size][/font][/color]

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