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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 1551 - 03 June 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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M55. Finger tip lesion 5/12 with destruction of distal phalynx ?Osetomyelitis, ?gloums, ?metastasis (distal finger amputation, decalcified).

Dr Richard Carr


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vincenzo polizzi

Posted

Subungueal Keratoacanthoma ( bone eroding).

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Nitin Khirwadkar

Posted

Subungual Keratoacanthoma. Can be quite destructive.

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Raul Perret

Posted

I have just arrived from Warwick where I had a wonderful time and met a great pathologist but even more important and exceptional human being. Thank you Richard!

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Guest Arash Daryakarr

Posted

Agree with colleagues.

 

Dear Raul,we missed your invaluable comments!

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Dr. Richard Carr

Posted

Yes all agree on subungual KA. These lesions require complete excision as they don't appear to regress spontaneously.  Also note these lesions can be a late marker of incontentia pigmenti.

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