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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 1132 - 24th October Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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F40. 6 years, juicy plaques arms & legs some, psoriasiform, some eczematous, some ?CTCL

Case Posted by Dr Richard Carr
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Go to records October 2014

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Just a plea to any of you who keep an eye on the cases but never or rarely comment. Please do try and have a go we all learn from the suggestions/discussion of histological features and the more suggestions and discussion on cases the better the learning. This case will have additional H&E at 4pm today and a few further images at 5pm.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Acute spongiotic tissue reaction. Mostly eczema. ? Adult onset atopic dermatitis.

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

Epidermotropic lymphocytes seem to be larger than perivascular ones and spongiosis is disproportionately mild. I go with mycosis fungoides.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE1132_RAC6923x10_4pm.jpg[/img]

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE1132_RAC6923x20_4pm.jpg[/img]

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE1132_RAC6923x40_4pm.jpg[/img]

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE1132_RAC6923x5b_4pm.jpg[/img]

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Syringolymphoid hyperplasia with epitheliotropism of atypical lymphocytes. Syringotropic MF. I was deceived by the overlying spongiotic pattern.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE1132_RAC6922_Clin_5pm.jpg[/img]

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE1132_RAC6922_IHC_Montage_5pm.jpg[/img]

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Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

Wounderful clinical photos(valuable addition). Yes, syringotropic MF..

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

All agreed this is a case of Syringotropic mycosis fungoides with rather remarkable superficial spongiotic pattern. CD4+, loss of CD5

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