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 1305 - 24 June 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)
79 year-old female with rash on chest.
Clinical:Rule out dermal hypersensitivity

Case posted by Dr Hafeez Diwan
picture-1
picture-2
picture-3
picture-4
picture-5
  Report Record
Go to records June 2015

User Feedback


Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

This is definitely not dermal hypersensitivity reaction. I am thinking of a Leukemic/ precursor cell infiltration of the skin. Will ask for CBC, Blood film and will do extensive IHC. CD3, 20, 43, 99, 68, 56, 117, myeloperoxidase as well as CD 123. Based on morphology, I am favouring lymphoblastic leukemia.

Share this comment

Link to comment
share_externally
Guest Romualdo

Guest Romualdo

Posted

Given the clinical hypothesis, I think a lymphomatoid hypersensitivity reaction must be excluded by history and immunohistochemistry.

Share this comment

Link to comment
share_externally
Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

This was a really tough case for me. This is cutaneous angioimmunoblastic T-cell lymphoma. It was CD3, CD4 and focally CD30 positive. The patient's lymph nodes were also positive.

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...