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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 1311 - 02 July 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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9 year-old Hispanic male with papules and nodules for 9 months.

Case posted by Dr Hafeez Diwan


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Dr. Richard Carr

Posted

I'm struggling for suggestions - looks like I am not the only one. Thought about insect bites, Leish, PLEVA, Lymphomatoid papulosis, hydroa vacciniforme (or HV-like lymphoma).

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Guest Hazem Hamed

Posted

I have been trying to remember the name of [color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]hydroa vacciniforme- like lymphoma which is my first thought to exclude before considering any other differentials!! Thank you very much Richard.[/size][/font][/color]

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Dr. Richard Carr

Posted

Dear Hazem, I struggled for ages trying to remember the name - it was bugging me so I went to Weedon under the lymphomas. Glad you think it is a reasonable suggestion!

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Dr. Mona Abdel-Halim

Posted

My only thought in this case is LyP.

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Guest Romualdo

Posted

I go with Mona: follicular lymphomatoid papulosis is my suggestion.

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Dr. Hafeez Diwan

Posted

Lymphomatoid papulosis. CD30 highlighted scattered positive cells.

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