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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 1260 - 22 April Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
65 year-old male with solitary lesion on mid lower chest. Clinical differential: BCC vs acne.
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Go to records April 2015

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Arti Bakshi

Arti Bakshi 286

Posted

Yes, acantholytic acanthoma. Not deep /invaginated enough for a warty dyskeratoma.

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

I called this warty dyskeratoma. The top right panel shows two foci of acantholysis, a bit reminiscent of the double-barrelled appearance described for warty dyskeratoma. Also, there are dyskeratotic cells present.

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Guest Romualdo

Guest Romualdo

Posted

Dr. Hafeez Diwan, in the absence of follicular involvement and a cystic/ nodular architecture or cup-shaped invagination into underlying dermis would acantholytic dyskeratotic acanthoma be a better diagnosis to this lesion?

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