Jump to content
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 1519 - 20 April Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
39 year-old male with biopsy from unspecified site for evaluation of bullous disease

Dr Hafeez Diwan.
picture-1
picture-2
picture-3
picture-4
picture-5
picture-6
picture_7
picture_8
  Report Record
Go to records April 2016

User Feedback


Raul Perret

Raul Perret 262

Posted

Pemphigus probably foliaceous or IgA associated. Favour the first one due to paucity of neutrophils but with pemphigus anything can happen... The Young age of the patient is particular

Share this comment

Link to comment
share_externally
Raul Perret

Raul Perret 262

Posted

Forgot to add P herpetiformis but of course without clinical info a dx of superficial pemphigus should be rendered as Mona suggests

Share this comment

Link to comment
share_externally
vincenzo polizzi

vincenzo polizzi 185

Posted

Favor IgA Pemphigus because of neutrophilic infiltrate. There is a regenerate epidermis over the bullous damage... 

Share this comment

Link to comment
share_externally
Arti Bakshi

Arti Bakshi 286

Posted

superficial pemphigus, most likely P.foliaceous

Share this comment

Link to comment
share_externally
Guest

Pemphigus.  I'm unsure what the last pictures is supposed to show. 

Share this comment

Link to comment
share_externally
Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

The last picture (bottom right) shows an eosinophil.  The top two panels are IgG.  There was also some C3 in the lower portion of the epidermis, but it didn't photograph well and I didn't include it.  Pemphigus foliaceus.

Share this comment

Link to comment
share_externally


Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
×

×
×
  • Create New...