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 1266 - 30 April Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

42 year-old hospitalized patient with neutropenia and numerous necrotic lesions.

Case posted by Dr Hafeez Diwan


User Feedback


Guest Romualdo

Posted

If adequate history is obtained (cocaine user) this could be levamisole induced necrosis symdrome (LINES).

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Dr. Mona Abdel-Halim

Posted

Agree with Romualdo, the association of neutropenia and widespread necrosis should raise the possibility of LINES

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Dr. Hafeez Diwan

Posted

This patient had disseminated intravascular coagulation (DIC)

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imccoll

Posted

I take it the first image shows one area of vascular thrombosis at the left edge to make it DIC causing the epidermal necrosis?

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