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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 1210 - 11 February Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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64 year-old female with biopsy from right lateral back.

Case posted by Dr Hafeez Diwan


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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

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

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

Posted

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

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