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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. Case 1526 - 29 April

    Spot Diagnosis provided by Dr Richard Carr

    By Admin_Dermpath,

    • 9 comments
    • 3,137 views

  2. Case 1525 - 28 April

    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 />

    By Admin_Dermpath,

    • 14 comments
    • 2,944 views

  3. Case 1524 - 27 April

    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

    By Admin_Dermpath,

    • 10 comments
    • 2,587 views

  4. Case 1523 - 26 April

    17 year old male with atypical nevus, left medial chest.<br /><br />Dr Uma Sundram

    By Admin_Dermpath,

    • 10 comments
    • 2,622 views

  5. Case 1522 - 25 April

    The patient is a 47 year old woman with a shave biopsy of a lesion on the right arm.<br /><br />Dr Mark Hurt

    By Admin_Dermpath,

    • 6 comments
    • 2,250 views

  6. Case 1521 - 22 April

    M60. Lesion right knee, 6-7 years. Recent episode of bleeding. ?Angioma<br /><br /><br />Dr Richard Carr.

    By Admin_Dermpath,

    • 10 comments
    • 2,676 views

  7. Case 1520 - 21 April

    47 year-old female with biopsy of single lesion from right instep.<br /><br />Dr Hafeez Diwan.

    By Admin_Dermpath,

    • 6 comments
    • 1,978 views

  8. Case 1519 - 20 April

    39 year-old male with biopsy from unspecified site for evaluation of bullous disease<br /><br />Dr Hafeez Diwan.

    By Admin_Dermpath,

    • 9 comments
    • 2,352 views

  9. Case 1518 - 19 April

    32 year old male with right back brownish black papule. The immunohistochemical stain used is Melan-A/MART-1.<br /><br />Dr Uma Sundram.

    By Admin_Dermpath,

    • 9 comments
    • 2,480 views

  10. Case 1517 - 18 April

    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.

    By Admin_Dermpath,

    • 8 comments
    • 2,357 views

  11. Case 1516 - 15 April

    M55 Tumour on buttock, long history, slowly increasing, clinically cystic. Case c/o Dr Jesmond Xeureb<br /><br />Dr Richard Carr.

    By Admin_Dermpath,

    • 11 comments
    • 2,852 views

  12. Case 1515 - 14 April

    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

    By Admin_Dermpath,

    • 16 comments
    • 2,924 views

  13. Case 1514 - 13 April

    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.

    By Admin_Dermpath,

    • 10 comments
    • 2,321 views

  14. Case 1513 - 12 April

    23 year old female with lesion on right upper arm.<br /><br />Dr Uma Sundram.

    By Admin_Dermpath,

    • 11 comments
    • 2,617 views

  15. Case 1512 - 11 April

    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.

    By Admin_Dermpath,

    • 10 comments
    • 2,634 views

  16. Case 1511 - 08 April

    M40. Forehead. 9 years, lesion discharges cheesy material when squeezed ?Epidermoid cyst.<br /><br />Dr Richard Carr.

    By Admin_Dermpath,

    • 19 comments
    • 3,240 views

  17. Case 1510 - 07 April

    9 year-old male with right calf mass.<br /><br />Dr Hafeez Diwan.

    By Admin_Dermpath,

    • 6 comments
    • 2,024 views

  18. 1509 - 06 April

    39 year-old male with 7 cm upper back mass.<br /><br />Dr Hafeez Diwan.

    By Admin_Dermpath,

    • 13 comments
    • 3,426 views

  19. Case 1508 - 05 April

    45 year old woman with lesion on abdomen. <br /><br />Dr Uma Sundram.

    By Admin_Dermpath,

    • 9 comments
    • 2,699 views

  20. Case 1507 - 04 April

    The patient is a 58 year old woman with a biopsy taken from the frontal scalp.<br /><br />Dr Mark Hurt.

    By Admin_Dermpath,

    • 11 comments
    • 2,680 views

  21. Case 1506 - 01 April

    F45. 4yr history of papule right upper lip. Small puncture present but poorly BCC ? Cyst ? BCC.<br /><br />Dr Richard Carr.

    By Admin_Dermpath,

    • 7 comments
    • 2,923 views
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