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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 1485- 03 March 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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Case History: 85/F: 2 large inflamed plaques on right upper and medial thigh. PMH: vulval lichen planus, nail dystrophy, alopecia, recent onset palmoplantar keratosis, irritable bowel syndrome and hypertension.
Case posted by Dr Arti Bakshi case c/o Dr Niki Stefanos


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Raul Perret

Posted

eccrine syringofibroadenoma probably associated with Clouston syndrome

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Nice case. I agree with Raul. ESFA associated with Ectodermal dysplasia.

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Dr. Mona Abdel-Halim

Posted

Yes, syringofibroadenoma, also known as acrosyringial adenomatosis. Agree with Raul in possible syndromal association.

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Arti Bakshi

Posted

Yes, this is ESFA.
Well done to Raul (and others) for picking the association with ectodermal dysplasia. We saw the same paper thar Raul has quoted and have raised the possibility of Clouston syndrome too..The age of presentation is unusual but it is not certain how long the patient has had the lesions. We await further information/investigations from our dermatologist.
Thanks to my colleague, Niki, for sharing this lovely case with me!

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