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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 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 :
   (0 reviews)
38 year-old male with foreskin ulcer.

Case posted by Dr Hafeez Diwan
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  Report Record
Go to records January 2015

User Feedback


Dr. Richard Carr

Dr. Richard Carr 622

Posted

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

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Guest Jim Davie MD

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

Dr. Richard Carr 622

Posted

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

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

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

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