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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 1391- 22 October 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: 27 year-old female with biopsy from left lower extremity.

Case posted by Dr Hafeez Diwan


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User Feedback


The homogeneous and eosinophilic material and the mononuclear inflammatory infiltrate makes me think about Monoclonal Cryoglobulinemia.

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Dr. Mona Abdel-Halim

Posted

Macular arteritis is my first thought (lymphocytic thrombophilic arteritis).

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Guest Romualdo

Posted

I think I will learn from Mona once more!

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Arti Bakshi

Posted

Agree, macular arteritis. Some consider this to be an indolent/ healing stage of PAN.

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Dr. Hafeez Diwan

Posted

Clinically it was livedo. Essentially a thrombotic lymphocytic vasculitis.

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Dr. Mona Abdel-Halim

Posted

Thanks Romualdo, we all learn from each other in this wounderful website :-)

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