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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 1454- 20 January 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)
Case History: 49 year-old male with left back biopsy.

Case posted by Dr Hafeez Diwan
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  Report Record
Go to records January 2016

User Feedback


Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Scabies, patient must be immunocompromised to have such heavy infestation. Was he erythrodermic? Could be Norwegian scabies.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

The infiltrate appears neoplastic.  Looks plasmacytoid.  Reminds me of a case of Norwegian scabies in a man who had ATLL many years ago when I was a neophyte - lovely pop-corn cells in that case.

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Guest Romualdo

Guest Romualdo

Posted

Agree with norwegian scabies and non-Hodgkin lymphoma. There is a known association of norwegian scabies and adult T-cell leukemia/ lymphoma.

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Nitin Khirwadkar

Nitin Khirwadkar 63

Posted

The infiltrate does look a bit worrying. Had missed looking at it carefully first! There are some large cells, in a mixed population. Some of the cells appear myelomonocytic and some degranulated mast cells. Not sure about others. 

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

I missed the infiltrate too, looks leukemic :-)... I suspected immunosuppression from the heavy infestation!!

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