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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 1413- 23 November 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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Case History: The patient is a 79 year old white man with a shave biopsy of a dark lesion that may have changed, taken from the left dorsal hand. There is a life-long history of the lesion.

Case posted by Dr Mark Hurt
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  Report Record
Go to records November 2015

User Feedback


Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Acquired elastotic hemangioma associated with bullous solar elastosis. I think life long actually refers to a long duration which can be accepted in the context of a white skinned individual on the dorsum of the hand being subjected to solar damage.
I do not know why CD68 was done?

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Arti Bakshi

Arti Bakshi 286

Posted

Difficult.. I think the ERG is staining normal vessels and is negative in the cystic spaces as is D240, which argues against a vascular or lymphatic malformation/lesion.
Bullous solar elastosis is a good idea (histology somewhat similar to the case Richard put in some time back), but life long history is odd. An EVG would be helpful.
What about some sort of traumatic aetiology in view of abundant haemosiderin?

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

I think it is an "old" ganglion cyst. Perhaps a large religious text "basher"! (apologies no offence intended)

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