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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 1546 - 27 May Posted By: Admin_Dermpath

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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M75. Cheek. Inflamed nodule. Seen by GP day before. ?BCC

Dr Richard Carr


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vincenzo polizzi

Posted

I'm struggling with this lesion and finally...i don't know what it can be!

Histologically looks like a HAEM ( EM associated to Herpetic Folliculitis ) with overlapping bacterial infection, but just for chatting...

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Dr. Mona Abdel-Halim

Posted

Herpetic folliculitis

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Guest Romualdo

Posted

There are several multinucleated cells in last image. Although no ground glass appearance is seen, I think herpetic folliculitis is a good suggestion.

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Eman El-Nabarawy

Posted

What about demodicosis? There is a report in McKee textbook of a case of demodicosis presenting with single lesion in association with herbs zoster.

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Dr. Richard Carr

Posted

I omitted to tell you the GP had performed cryotherapy.  My report as follows:

 

"Severe acute inflammatory changes superficially in keeping with cryotherapy. No frank neoplasm in the multiple levels examined although a subtle actinic keratosis with mild dysplasia is a possibility."

 

There is demodex here of uncertain clinical significance.  I thought it would be of interest for you to see the sub-acute effects of cryotherapy (external factors) in the skin as it is something we don't see often!

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Arti Bakshi

Posted

Thanks Richard, nice case...something to keep in mind!

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