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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 1289 - 02 June 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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40 year old woman with cluster of papules on the right wrist.

Case posted by Dr Uma Sundram
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Go to records June 2015

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Uma Sundram

Uma Sundram 169

Posted

Yes, deep GA. Apologies if people thought this was too easy. Interstitial infiltrates are difficult to diagnose and entities such as epithelioid sarcoma and metastatic breast cancer come up in the differential. I thought this biopsy was particularly interesting--the classic palisading histiocytes are not seen until much deeper into the biopsy and can be missed on a superficial biopsy.

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