Jump to content
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 1660 - 4 November - Dr Richard A Carr 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)

Clinical Details: Spot Diagnosis (Basic case primarily for newbies & trainees).
H&Ex10

Case Posted by Dr Richard A Carr

Edited by Admin_Dermpath


  Report Record

User Feedback


Dr. Mona Abdel-Halim

Posted

Folloculosebaceous cystic hamartoma

Share this comment


Link to comment
share_externally

Dr. Richard Carr

Posted

I don't nose if Mona is a newbie or trainee!

Share this comment


Link to comment
share_externally

biswanath behera

Posted

Cystically dilated follicular infundibulum containg keratin, with attached sebaceous lobules. One area showing connection with epidermis. Sorrounding stroma containing fibrillar collagen, clefts, increased blood vessels and  single immature hair follicle (Fig 5). there is moderate to severe periadnexal lymphoplasmacytic infiltration with one focus showing granulomatous inflammation.

The differentilas are Folliculosebaceous cystic hammartoma and Sebaceous Trichofolliculoma.

Presence of Clefts and fibrillar collagen favours Folliculosebaceous cystic hammartoma

 

Share this comment


Link to comment
share_externally

Dr. Richard Carr

Posted

OK. Looks like I need to open this case up a little - I was hoping we'd get some new comers contributing.  I will keep trying to encourage trainees and newbies but hope our usual stalwarts will have a go too.  History is swelling of the nose (my comment relating to Mona was a pun and clue!).

Share this comment


Link to comment
share_externally

Arti Bakshi

Posted

Yes, I thought it was on the rosacea spectrum all along. Several markedly dilated follicular infundibula, telangiectatic vessels, chronic inflammation including plasma cells and histiocytes and prominence of sebaceous glands, would all do very well for rhinophyma. 

Share this comment


Link to comment
share_externally

Arti Bakshi

Posted

Agree with Richard that we need more newcomers to actively contribute!

Share this comment


Link to comment
share_externally

vincenzo polizzi

Posted

Agree with Arti. I started to learn pathology differential diagnosis thanks to my teachers, but I continued learning thanks to  the stimulating discussions with newcomers...

Share this comment


Link to comment
share_externally

Raul Perret

Posted

Thought of granulomatous rosacea with comedones. 

Share this comment


Link to comment
share_externally

Dr. Mona Abdel-Halim

Posted

Swelling OF the nose !!!

then as Vincenzo, Arti and Raul said it is just Rhinophyma with comedones.. 

I missed a basic case :-(( 

Share this comment


Link to comment
share_externally

Dr. Richard Carr

Posted

Clinical was rhinophyma which is indeed listed as a variation of acne rosacea.  Clearly this case has significant comedonal changes. I think as anyone who has sat with me will know anyone can fall flat on their nose without clinical history (I frequently suggest things which are catastrophically wrong). Spot diagnosis is a bit of fun though and as we see from this site often works a treat.

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...