Jump to content
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 1493- 15 March 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: 30 year old woman with history of Wegener’s granulomatosis now with firm erythematous nodule with central dell on elbow.

Case posted by Dr Uma Sundram
picture-1
picture-2
picture-3
picture-4
picture-5
picture-6
  Report Record
Go to records March 2016

User Feedback


Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Interstitial granulomatous dermatitis (palisaded neutrophilic and granulomatous dermatitis). Typical clinical presentation also.

Share this comment

Link to comment
share_externally
Raul Perret

Raul Perret 262

Posted

Completely agree with mona palisaded neutrophilic and granulomatous dermatitis. However, I would perform special stains for microorganisms before this diagnosis

Share this comment

Link to comment
share_externally
Guest

Agree.  Palisaded neutrophilic and granulomatous dermatitis. 

Share this comment

Link to comment
share_externally
vincenzo polizzi

vincenzo polizzi 185

Posted

I see a perforating palisaded necrobiotic granuloma, with neutrophils nuclear dust and histiocytes. I thought of a granuloma annulare ( single lesion ), or rheumatoid nodule or....but ultimately the Mona's dg fits better with the clinic history and the pathological features. Agree with Interstitial Granulomatous Dermatitis.

Share this comment

Link to comment
share_externally
Guest Romualdo

Guest Romualdo

Posted

More than interstitial infiltrate I see a large necrobiotic focus sorrounded by palisaded histiocytic infiltrate. I think this is perforated juxta-articular granuloma annulare.

Share this comment

Link to comment
share_externally
Arti Bakshi

Arti Bakshi 286

Posted

Palisaded and neutrophilic granulomatous dermatitis.

Share this comment

Link to comment
share_externally
Uma Sundram

Uma Sundram 169

Posted

You guys nailed it. Palisaded and neutrophilic granulomatous dermatitis.

Share this comment

Link to comment
share_externally
John Zhang

Very good thoughts. But I also wonder, could this be reactive perforating collagenosis? The clinical description sounds like it.

Share this comment

Link to comment
share_externally


Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
×

×
×
  • Create New...