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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 1200 - 28th January 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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67 year-old female with a lesion on left middle finger, clinically suspected to be a wart.

Case posted by Dr Hafeez Diwan


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Eman El-Nabarawy

Posted

Yes. Storiform Collagenoma (sclerotic fibroma).

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Sclerotic fibroma, which I take as simply being a sclerotic dermatofibroma.

[url="http://www.ncbi.nlm.nih.gov/pubmed/8989937"]http://www.ncbi.nlm.nih.gov/pubmed/8989937[/url]

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Guest Tiberiu Tebeica

Posted

Sclerotic fibroma / storiform collagenoma

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Mark A. Hurt MD

Posted

Sclerotic fibroma. Any history of Cowden's syndrome?

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Guest Romualdo

Posted

I think sclerotic fibroma is more used than sclerosing fibroma.

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Dr. Hafeez Diwan

Posted

Sclerotic fibroma. There is no history of Cowden's.

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Guest Jim Davie MD

Posted

Nice case! All the histologic features one would want for a classic, "textbook-reading" example of sclerotic fibroma...a sharply circumscribed, expansile nodule comprised of the classic "plywood pattern" acellular sclerotic collagen, with prominent internal clefting artefacts, focal mucin, and sparse fibroblasts lacking atypia or mitotic activity.

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