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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 1201 - 29th 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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38 year-old male with foreskin ulcer.

Case posted by Dr Hafeez Diwan


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Dr. Richard Carr

Posted

I note Iskander has now concluded case 1195 for those still interested.

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Guest Jim Davie MD

Posted

Granuloma inguinale (Klebsiella granulomatis infection) is my first impression (in context of penile ulcer).
Superficial necrosis/fibrin/acute inflammation, with sparse lymphocytes and plasma cells in the deeper infiltrate. Histiocytes have subtle pale granules, some with apparent halos, suspicious for Donovan bodies (bacterial inclusions).

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Dr. Richard Carr

Posted

CMV implies immunosuppression, most likely HIV. Always consider dual (or more) immunosuppression related pathology / infections!

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Dr. Hafeez Diwan

Posted

Yes, this is cytomegalovirus. IHC was positive for CMV.

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