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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 1124 - 14th 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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34 year old woman with 2 week history of fevers and chills who subsequently presents with violaceous plaques over the arms. Many plaques show vesiculation in the center. During her febrile illness, the patient had been treated with ampicillin.

Case posted by Dr.Uma Sundram.


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Robledo F. Rocha

Posted

The diffuse infiltrate and case history favor Sweet’s syndrome, but I’d expected a pseudobullous lesion due to marked papillary dermal edema. Conversely, I didn’t see all that dermal edema, and there’s a true subepidermal blister with signs of re-epithelialization and scattered single necrotic keratinocytes. So, I add Sweet’s-like drug reaction.

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Dr. Richard Carr

Posted

Sweet's was also my first thought.

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