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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 1355 - 02 September 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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65 year-old male with hepatitis C and history of drug abuse, who presented with blisters and swelling of lower extremities.

Case posted by Dr Hafeez Diwan
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Go to records September 2015

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Guest Romualdo

Guest Romualdo

Posted

Mixed cryoglobulinemia, with intravascular hyaline deposits.

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Arti Bakshi

Arti Bakshi 286

Posted

Agree with Hep C associated mixed cryoglobulinema. A pattern of leukocytoclastic vasculitis is expected, which is seen in the last image.
However, intra vascular hyalin deposits are a feature of type 1 cryoglobulinema (monoclonal). Interesting that both the features are seen in this case.

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

Agree with the group. Mixed cryoglobulinemia.

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