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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 1267 - 01 May 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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Small BCC on forehead.

Case posted by Dr Richard Carr


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Guest Romualdo

Posted

Giant cell arteritis associated with overlying basal cell carcinoma.

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Agree. Nodular basal cell carcinoma and granulomatous arteritis, presumably part of temporal arteritis.

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Dr. Mona Abdel-Halim

Posted

Agree, interesting
Here is a link to a similar case
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475953/

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Mark A. Hurt MD

Posted

I think you're right. I have a sense that this is a true-true but unrelated phenomenon.

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Arti Bakshi

Posted

Agree, BCC with Giant cell arteritis. Interested to know if there were any clinical symptoms of temporal arteritis.

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Dr. Richard Carr

Posted

Yes I reported it as a BCC and "incidental" giant cell arteritis and asked if there were any relevant clinical symptoms in the pathology report. It later turned out on direct questioning there was a history of aches & pains, weight loss, jaw claudication and on examination reduced pulsatility of the termporal artery and raised viscosity! In hindsight it is one of those cases that I should have picked up the phone and spoken to the clinician directly and advised urgent re-assessment & investigations rather than trusting the clinician had received and would act promptly on the pathology report.

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