Jump to content
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 1191 - 15th January 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)
66 Year old female with a mildly itchy rash for sometime. Rash on torso and legs.

Torso clinically eczematous but the legs show erythema and follicular distribution. Biopsy of right lower leg.
picture-1
picture-2
picture-3
picture-4
picture-5
picture-6
  Report Record
Go to records January 2015

User Feedback


Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Strange case..
Combined spongiotic reaction pattern and sarcoidal granulomatous reaction pattern.
My theory (based on clinical correlation): a granulomatous allergic contact dermatitis.

Share this comment

Link to comment
share_externally
Robledo F. Rocha

Robledo F. Rocha 336

Posted

I favor disseminate and recurrent infundibulofolliculitis, but I'd add as differential diagnosis an unusual presentation of lichen striatus, granulomatous reaction to foreign material (e.g.: zirconium-content cosmetic), and granulomatous follicular atopic dermatitis.

Share this comment

Link to comment
share_externally
Guest
?Follicular and granulomatous variants of contact dermatitis.

Share this comment

Link to comment
share_externally
Guest Jim Davie MD

Guest Jim Davie MD

Posted

Agree with above differentials.
To add to the differential diagnosis list in this clinical setting (although not my first choice): Folliculotropic CTCL, which may have a perifollicular foreign body type granulomatous reaction, targeted follicular vescicular spongiosis, and attenuated lymphocytic epidermotropism.

Share this comment

Link to comment
share_externally
Guest Romualdo

Guest Romualdo

Posted

I think this could be follicular granuloma annulare.

Share this comment

Link to comment
share_externally
Dr. Richard Carr

Dr. Richard Carr 622

Posted

I guess tuberculid should also be added. Systemic lymphomas may present with cutaneous granulomas too. Other differentials would include Crohn's.

Share this comment

Link to comment
share_externally
Iskander H. Chaudhry

Iskander H. Chaudhry 49

Posted

Thank you all for you amazing replies. Final diagnosis was granulomatous drug eruption and the rash cleared with stopping the Statin. Has anyone seen a similar case?

Share this comment

Link to comment
share_externally


Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
×

×
×
  • Create New...