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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?

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.
Submitted Date :
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Clinical Details: 4th Toe lesion. ?Pyogenic granuloma

Case Posted by Dr RIchard Carr

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User Feedback

Raul Perret


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


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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