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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 1505 - 31 March 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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65/F Persistent facial erythematous rash?lupus, ?seborrhoiec dermatitis

Dr Arti Bakshi
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Go to records March 2016

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vincenzo polizzi

vincenzo polizzi 185

Posted

What about pemphigus foliaceus, erythematous variant(Senear-Usher syndrome)?

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Raul Perret

Raul Perret 262

Posted

pemphigus erythematosus (Senear-Usher syndrome) 

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IgorSC

Pemphigus erythematosus. Had two cases like this in this month with similar hypothesis. Nice.

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Guest

Agree with pemphigus erythematosus.  IMF for confirmation. 

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

We have lots and lots of pemphigus (of all types) in our hospital..

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SADAT

superficial pemphigus mostly pemphigus erythematosus   For IMF  

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SADAT

This site is a good  teaching site. Many thanks for DR mona Abdalahalim as she informed me by this site in 2013. it was the main reason for my passing  international board exam in dermatopathology december 2015.

many thanks for this teaching site and special thanks for dr mona abdalhalim

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Guest Arash Daryakarr

Guest Arash Daryakarr

Posted

Agree with colleagues.Pemphigus erythematosus.IF may show a lupus band like deposition in addition to intercellular epidermal fluorescence.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

You are most welcome Dr Sadat, a new Egyptian certified dermatopathologist :-)

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Arti Bakshi

Arti Bakshi 286

Posted

Yes, this is superficial pemphigus.

The IMF showed intercellular positivity for IgG, but no dermo-epidermal positivity for immunoglobulins or C3. Also ANA was negative, so I called this pemphigus foliaceous rather than pemphigus erythematosus. 

 

 

Congrats to Sadat!! This is indeed an extremely educational website.

Would urge members who regularly visit spot diagnosis, but do not put in a diagnosis to do so. Its the best way to learn. Do not be afraid of making mistakes, we are all learning here!

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