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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1610 - 26 August Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Clinical Details: 4th Toe lesion. ?Pyogenic granuloma

Case Posted by Dr RIchard Carr


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Raul Perret

Posted

Childblain lupus was my first thought as I think there is some interface change (mainly in the last picture). But im on the cellphone so if its an illusion the diagnosis should be consistent with perniosis

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Dr. Richard Carr

Posted

Looks like i'm in the minority in thinking this is fairly typical histology for lichen sclerosus!  LS has been reported on the finger, palm and even nails.  Clearly this case requires clinicopathological correlation. It was a case kindly sent to me by Dr Chris Allen.  I'll try to get follow-up.

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