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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?

April 2016

21 records in this category

  1. F45. 4yr history of papule right upper lip. Small puncture present but poorly BCC ? Cyst ? BCC.<br /><br />Dr Richard Carr.
    • 7 comments
    • 3,031 views
  2. The patient is a 58 year old woman with a biopsy taken from the frontal scalp.<br /><br />Dr Mark Hurt.
    • 11 comments
    • 2,782 views
  3. 45 year old woman with lesion on abdomen. <br /><br />Dr Uma Sundram.
    • 9 comments
    • 2,818 views
  4. 39 year-old male with 7 cm upper back mass.<br /><br />Dr Hafeez Diwan.
    • 13 comments
    • 3,546 views
  5. 9 year-old male with right calf mass.<br /><br />Dr Hafeez Diwan.
    • 6 comments
    • 2,095 views
  6. M40. Forehead. 9 years, lesion discharges cheesy material when squeezed ?Epidermoid cyst.<br /><br />Dr Richard Carr.
    • 19 comments
    • 3,352 views
  7. The patient is a 97 year old white man with a shave biopsy of a bleeding cutaneous horn taken from the right pretibial area. Clinical Diagnosis: r/o SCC.<br /><br />Dr Mark Hurt.
    • 10 comments
    • 2,720 views
  8. 23 year old female with lesion on right upper arm.<br /><br />Dr Uma Sundram.
    • 11 comments
    • 2,695 views
  9. 36 year old male with skin disorder from birth. This is a random biopsy from the back. (Courtesy of Dr. Sarah Galfione.)<br /><br />Dr Hafeez Diwan.
    • 10 comments
    • 2,435 views
  10. 34/M widespread discrete plaques, some indurated.<br />PMH- recurrent chest infections and bronchiectasis, hepatosplenomegaly (splenectomy done in 2014), lymphadenopathy<br /><br />- Special stains for AFB and fungi negative.<br /><br />Case posted by Dr Arti Bakshi
    • 16 comments
    • 3,037 views
  11. M55 Tumour on buttock, long history, slowly increasing, clinically cystic. Case c/o Dr Jesmond Xeureb<br /><br />Dr Richard Carr.
    • 11 comments
    • 2,937 views
  12. The patient is a 52 year old white man with an excision of a raised lesion on the right thumb. <br /><br />Dr Mark Hurt.
    • 8 comments
    • 2,446 views
  13. 32 year old male with right back brownish black papule. The immunohistochemical stain used is Melan-A/MART-1.<br /><br />Dr Uma Sundram.
    • 9 comments
    • 2,575 views
  14. 39 year-old male with biopsy from unspecified site for evaluation of bullous disease<br /><br />Dr Hafeez Diwan.
    • 9 comments
    • 2,438 views
  15. 47 year-old female with biopsy of single lesion from right instep.<br /><br />Dr Hafeez Diwan.
    • 6 comments
    • 2,074 views
  16. M60. Lesion right knee, 6-7 years. Recent episode of bleeding. ?Angioma<br /><br /><br />Dr Richard Carr.
    • 10 comments
    • 2,768 views
  17. The patient is a 47 year old woman with a shave biopsy of a lesion on the right arm.<br /><br />Dr Mark Hurt
    • 6 comments
    • 2,327 views
  18. 17 year old male with atypical nevus, left medial chest.<br /><br />Dr Uma Sundram
    • 10 comments
    • 2,724 views
  19. 60/M with a symmetrical erythematous rash in groins, upper thigh and axilla (started nearly 20 years ago). Flares up every 6-12 months, sore and occasionally itchy. Clinical d/d- ?erythrasma, ?eczema.<br />2 biopsies, 1st punch bx , from axilla, done in 2013 (images 1-4) and 2nd incisional bx from thigh, 2014 (images 5-10). Image 9- CD4, image 10- CD8<br /><br />Case posted by Dr Arti Bakshi
    • 10 comments
    • 2,687 views
  20. 10-year-old girl undergoing long-term work-up by rheumatology for an autoinflammatory disorder presents for evaluation of recurrent, tender papules and plaques involving the face, trunk, and extremities since 3 weeks of age. Cutaneous lesions have flared over the last 5 days following a decrease in her daily dose of prednisone. She has a past medical history of recurrent fever, panniculitis, elevated acute phase reactants, transient arthritis, and aseptic meningitis. There is no family history of autoimmune disease or immunodeficiency. She is on methotrexate 17.5 mg PO weekly and prednisone 17.5 mg PO daily. Her labs show intermittent elevations in ESR, CRP, and AST/ALT.<br /><br />Dr Hafeez Diwan.<br />
    • 14 comments
    • 3,064 views
  21. Spot Diagnosis provided by Dr Richard Carr
    • 9 comments
    • 3,236 views
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