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 1327 - 24 July 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)
M40. Lesion on arm. Keeps picking. Case c/o Dr Nick Tiffin

Case posted by Dr Richard Carr
picture-1
picture-2
picture-3
  Report Record
Go to records July 2015

User Feedback


Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

From the clinical, it appears to be a solitary lesion. I am thinking of cutaneous focal mucinosis.

Share this comment

Link to comment
share_externally
Guest Romualdo

Guest Romualdo

Posted

Excuse my ignorance, what does "keeps picking " mean?

Share this comment

Link to comment
share_externally
Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

I can see focal parakeratosis, melanophages (? epidermal insult) plus the history of repeated picking! Could it be secondary cutaneous mucinosis to chronic dermatitis?
http://www.ncbi.nlm.nih.gov/pubmed/25834351

Share this comment

Link to comment
share_externally
Dr. Richard Carr

Dr. Richard Carr 622

Posted

The oxford popular (pocket) dictionary
Pick: use a pointed intstrument or the fingers or beak etc. to make (a hole) in or remove bits from (a thing): detach (flower or fruit) from the plant bearing it; select, [i]n. [/i]picking; selection; best part.

Thanks Eman

Share this comment

Link to comment
share_externally
Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Nice article provided by Eman. However, it seems to describe peri-adnexal mucin in association with chronic eczematous dermatitis, in which there is peri-adnexal mucin accumulation. I think we are having a more extensive mucin deposition and also a stellatte fibroblastic component in this lesion making it fit more with the description of cutaneous focal mucinosis. I have read that cutaneous focal mucinosis can develop secondary to trauma. May be the patient is used to the habit of picking in his arm with the subsequent development of cutaneous focal mucinosis.

https://www.karger.com/Article/FullText/358249

Share this comment

Link to comment
share_externally
Dr. Richard Carr

Dr. Richard Carr 622

Posted

Yes very good responses. Dr Nick Tiffin kindly gave me this case as cutaneous focal mucinosis. I don't know if the picking was incidental but thanks for the discussion. There does not seem to be very striking lichenification or nodular prurigo here.

Share this comment

Link to comment
share_externally
Guest Romualdo

Guest Romualdo

Posted

Agree with trauma induced cutaneous focal mucinosis.

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...