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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 1691 - 21 November - Dr Richard Carr 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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Clinical Details: Spot Diagnosis. Intended for the trainees/residents and newbies please.

Case Posted by Dr Richard Carr

Edited by Admin_Dermpath


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Admin_Dermpath

Posted

Nothing starts the week better than one of Dr Richard A Carr's Spot Diagnosis Cases, enjoy.

 

Geoff Cross - DermpathPRO Projects

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Victor Delgado

Posted

There is a septal paniculitis with foci of lymphocytes, histiocytes and a few eosinophils, also multinucleated giant cells. Nice example for Erythema Nodosum.

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Raul Perret

Posted

These are really beautiful images that we have here, particularly the last one showing a frank example of Miescher's radial granuloma. Dr. Requena remarks this finding as quite specific for EN, here a nice article

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I was asking this finding exactly to the newbies ;)

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Raul Perret

Posted (edited)

53 minutes ago, IgorSC said:

I was asking this finding exactly to the newbies ;)

Sorry Igor I did not see your comment before posting; my idea was to remark it but in a different way. Nice case

 

Edited by Raul Perret

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vincenzo polizzi

Posted

Yes, really beautiful. And there is another nice finding that might make thinking of something other but instead is an useful clue to EN...:-))

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Dr. Richard Carr

Posted

Yes this is a nice example of septal panniculitis in keeping with erythema nodusum (with Meisher's radial granulomas). Looking forward to learning more from Vincenzo.  Well done newbies!

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vincenzo polizzi

Posted

I have nothing to teach to anybody...only a bit signalling about a finding in last right fig: a vasculitis that could make do,  to an unexpert like me, an erroneous diagnosis of nodular vasculitis...But the newbies are by far more experts than me. Huge achievement of this great web site!

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