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 1224 - 03 March 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)
46 year old female with focal erythema and induration of the buccal mucosa.

Case posted by Dr Uma Sundram
picture-1
picture-2
picture-3
  Report Record
Go to records March 2015

User Feedback


Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

If the black deposits are not artefacts (which is most likely), one should consider a form of pseudolymphomatous reaction induced by ? amalgum
Other possibility is MALT lymphoma (not a typical site)

Share this comment

Link to comment
share_externally
Guest
I think this is a reaction to the pigmented material, although I don't know what this is.

Share this comment

Link to comment
share_externally
Guest Romualdo

Guest Romualdo

Posted

Lymphoid hyperplasia and foreign body giant cell reaction to pigmented material, maybe amalgam tatoo. Some giant cells are seen in the last figure.

Share this comment

Link to comment
share_externally
Guest
I did think about amalgam tattoo, but that is usually more superficial and clinically black/blue and I could not find a reference to association with lymphoid hyperplasia.

Share this comment

Link to comment
share_externally
Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

Could this be a tangential cut of Oral lymphoepithelial cyst?

Share this comment

Link to comment
share_externally
Guest Jim Davie MD

Guest Jim Davie MD

Posted

I would add pencil (graphite) tattoo to the differential.
Matured foreign-body granuloma with chunky black material, lymphoid reaction and fibrosis, which suggests a long-standing / stable process (years). Given location on buccal mucosa and deep location with respect to the mucosa, I would suggest CPC for history of any cutaneous cheek penetrating injury or intraoral pencil injury.

Share this comment

Link to comment
share_externally
Uma Sundram

Uma Sundram 169

Posted

Great comments. Cutaneous lymphoid hyperplasia secondary to amalgam tattoo. No penetrating injury to this area. No light chain restriction.

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...