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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 : Case 1120 - 8th 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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The Patient is 73 year-old male with headache. This is a biopsy of the temporal artery.

Case posted by Dr. Hafeez Diwan.


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Robledo F. Rocha

Posted

Intimal thickening of muscular arteries is a change expected in a man in his seventies, but there's also a non-inflammatory deposition of amorphous material without cholesterol clefts within intima and media, a finding that makes me think of amyloidosis.

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Dr. Hafeez Diwan

Posted

Font and Prabhakaran have described the histologic features of steroid-treated temporal arteritis (please see Br J Ophthamol, 2007; 91(2):204-209). Inflammation may be absent and there is a break in the elastic lamina, as is seen in this case. So I called it consistent with treated temporal arteritis.

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