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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?

August 2016

24 records in this category

  1. The patient is a 42 year old woman with a shave biopsy of an inflamed pigmented papule with hemorrhagic crusting taken from the left anterior lateral distal thigh.<br /><br />Dr Mark Hurt
    • 1 comment
    • 1,694 views
  2. 68/M widespread purpuric telangiectatic rash on trunk and extremities, diagnosed as purpuric Mycosis fungoides on a previous bx. T cell clone present. Now, developed 3 new lesions on leg, 4- 5mm papules. Another biopsy done and images below are from the second bx. Clonality studies reveal identical T cell clone as previous biopsy. (same distribution and size of monoclonal peaks)<br /><br />Case Posted by Dr Arti Bakshi
    • 7 comments
    • 2,485 views
  3. Case posted by Dr Uma Sundram
    • 1 comment
    • 935 views
  4. 2 year-old with left knee mass<br /><br />Case Posted by Dr Hafeez Diwan
    • 6 comments
    • 2,407 views
  5. F20. Cyst on arm. Case c/o Dr Manu Singh<br /><br />Case posted by Dr Richard Carr
    • 10 comments
    • 3,019 views
  6. 40 year old female nurse with large lesion on left buttock.<br /><br />Case Posted by Uma Sudram
    • 3 comments
    • 1,988 views
  7. The patient is a 56-year-old woman with a shave biopsy taken from the left forearm.<br /><br />Case posted by Dr Mark Hurt
    • 8 comments
    • 2,339 views
  8. 70 year old man with noticeable large lesion on left lower extremity which grew quickly. History of follicular lymphoma, status post treatment, with recent full body PET in May negative for residual tumor.<br /><br />Case posted by Dr Uma Sundram
    • 7 comments
    • 2,368 views
  9. 26 year-old female with acute onset rash with pustules.<br /><br />Case posted by Hafeez Diwan
    • 6 comments
    • 2,202 views
  10. 12 year-old female with excision of right hand soft tissue lesion. <br /><br />Case posted by Dr Hafeez Diwan
    • 7 comments
    • 2,221 views
  11. Clinical Details: F80. Calf mass. Referral c/o Dr Terry Jones<br /><br />Case Posted by Dr Richard Carr
    • 8 comments
    • 2,610 views
  12. History: The patient is an 87 year old woman with shave biopsies of lesions taken from the left temple.<br /><br />Case Posted by Mark Hurt
    • 8 comments
    • 2,318 views
  13. 50 year old man with growing lesion on jaw.<br /><br />Case Posted by Dr Uma Sundram
    • 10 comments
    • 2,824 views
  14. 34 year-old female with right labial biopsy (slide courtesy of Dr. Galfione).<br /><br />Case posted by Dr Hafeez Diwan
    • 8 comments
    • 2,672 views
  15. 40/F localised area of dry brittle hair<br /><br />Case Posted by Dr Arti Bakshi
    • 4 comments
    • 1,885 views
  16. F30. Anal polyp.<br /><br />Case Posted by Dr Richard Carr
    • 9 comments
    • 3,551 views
  17. 55 year old lesion on scalp. Past history of MM.<br /><br />Case posted by Dr Iskander Chaudhry
    • 10 comments
    • 2,493 views
  18. 18 year old female: Inflamed area of skin anterior neck 1 cm X 4 mm. Several months. Scales. Static size. ? Localized infection folliculitis. ?sup BCC. 4 mm punch biopsy taken.<br /><br />Case Posted by Dr Iskandher Chaudhry<br />
    • 13 comments
    • 2,153 views
  19. 56 year old man with vascular lesion on left distal pretibial area. Rule out atypia.<br /><br />Case posted by Dr Uma Sundram
    • 8 comments
    • 2,516 views
  20. 45 year-old male with itchy rash on head, trunk and extremities for several months. Physical examination revealed confluent erythematous, non-scaly plaques on face and erosions with scale on border on chest, abdomen and back. A few scaly macules were present on the thighs and upper extremities. There were erythematous scaly patches on the scalp. This biopsy is from the right upper arm.<br /><br />Case Posted by Dr Hafeez Diwan
    • 4 comments
    • 1,965 views
  21. 74 year-old male female with left external auditory canal lesion.<br /><br />Case Posted by Dr Hafeez Diwan
    • 6 comments
    • 2,064 views
  22. Clinical Details: 4th Toe lesion. ?Pyogenic granuloma<br /><br />Case Posted by Dr RIchard Carr
    • 7 comments
    • 2,425 views
  23. 65 year old woman with left post auricular cyst. F6=ck7; F7=EMA; F8=p63.<br /><br />Case Posted by Dr Uma Sundram
    • 5 comments
    • 1,881 views
  24. 39 year-old male with right shin lesion, clinically: rule out dermatofibroma.<br /><br />Case Posted by Dr Hafeez Diwan<br />
    • 12 comments
    • 3,385 views
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