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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 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
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Go to records April 2015

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Guest Romualdo

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

Dr. Mona Abdel-Halim 508

Posted

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

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

This patient had disseminated intravascular coagulation (DIC)

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imccoll

imccoll 0

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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