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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 1568 - 29 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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56 year-old male with widespread skin lesions. This biopsy is from the left neck.

Dr Hafeez Diwan


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Raul Perret

Posted

Agree with leukemia cutis. Just as a comment, since some time the pictures of Dr. Diwan are really pink without any contrast, making it harder to find the correct diagnosis in difficult cases.

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Dr. Mona Abdel-Halim

Posted

Also thought leukemia/ lymphoma
Agree with Raul's comments on the photos.

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Dr. Hafeez Diwan

Posted

I do apologize for the photos.  They do look rather pink.  The last two on the bottom are immunos (both are CD30).  This is a patient with systemic ALCL. 

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Guest Charlie Keen

Posted

Looking at immunos without knowing the antigen is a bit like doing crosswords without the clues! It may be possible but it does not reflect real life practice.

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