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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 1216 - 19 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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5 year-old male with lesion on left leg.

Case posted by Dr Hafeez Diwan


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Guest Tiberiu Tebeica

Posted

Tufted angioma vs Kaposiform hemangioendothelioma?

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Dr. Richard Carr

Posted

Please see foot-note to Case 1207 (6 Feb): Neuroendocrine markers were negative.

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Dr. Mona Abdel-Halim

Posted

I thought of eccrine angiomatous hamartoma

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Guest Romualdo

Posted

Agree with Mona, I also thought of eccrine angiomatous hamartoma.

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Arti Bakshi

Posted

Intimate association of capillaries, eccrine glands and adipose tissue. Will go with eccrine angiomatous hamartoma.
Although the proliferating capillaries are rather 'tufted', they do not show the characteristic peripheral lymphatic channel, seen with tufted angioma.

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Guest Jim Davie MD

Posted

Agree with [color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]eccrine angiomatous hamartoma. [/size][/font][/color]
[color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]The distorted dermal architecture with atypically thickened, randomly oriented dermal collagen bundles, and scattered, superficial and deep distorted eccrine coils especially catches the eye in the lowest power image.[/size][/font][/color]

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Dr. Hafeez Diwan

Posted

I called this tufted angioma. However, I can see based on the images why some may want to call it eccrine angiomatous hamartoma. I guess when I saw the H&E slide, I was more struck by the tufts of capillaries, a few of which I photographed. There were areas of tufted capillaries without any accompanying eccrine proliferation on the slide.

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