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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 1210 - 11 February 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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64 year-old female with biopsy from right lateral back.

Case posted by Dr Hafeez Diwan
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Go to records February 2015

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Guest Romualdo

Guest Romualdo

Posted

Hailey-Hailey variant of Grover's disease. Hailey-Hailey's disease as a second possibility, although back is not a prefered location. CPC is needed to arrive at a final diagnosis.

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Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

[quote name='Romualdo' timestamp='1423650709']
Hailey-Hailey variant of Grover's disease. Hailey-Hailey's disease as a second possibility, although back is not a prefered location. CPC is needed to arrive at a final diagnosis.
[/quote] agree

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Guest Jim Davie MD

Guest Jim Davie MD

Posted

I would add Pemphigus vulgaris to the differential of Hailey-Hailey, and Hailey-Hailey-pattern Grover's disease (as we are absent clinical history or lesion pattern, other than location). There is 'tombstone sign' in the intact basal keratinocytes and suprabasal clefting. That said, the absence of adnexal involvement would give favor to Hailey-Hailey or Grover's dz. Positive DIF/IIF would support pemphigus.

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

Yes, CPC is necessary for this one. This is Hailey-Hailey's disease

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