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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 1649 - 20 October 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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54 year-old male with widespread rash. This biopsy is from the left abdomen.

Case Posted by Dr Hafeez Diwan


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Admin_Dermpath

Posted

Are you in a rash today? Well take a break and check out Dr Hafeez Diwan's interesting Spot Diagnosis Case.

 

Cheers, Geoff

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vincenzo polizzi

Posted

PRP could fit with clinical features. Unfortunately there isn't any convincing follicular plugs. 

However I see some checkerboard pattern of para/hyperkeratosis on the 3/4/5 fig.

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Raul Perret

Posted (edited)

When I saw the architecture I wanted to see in higher magnification searching for the hyphae but in the pictures they are not clear. I think there is something more appart from parakeratosis maybe tinea corporis in immunosupressed patient? I am not sure with these images though... Wonder what Richard was thinking

Edited by Raul Perret

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Dr. Richard Carr

Posted

It was a joke because the images are all upside down!

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Dr. Mona Abdel-Halim

Posted

I favor PRP.

Nice joke Dr Carr :-))

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PRP. Normally I would not perform PAS stain in a case like this.

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Dr. Hafeez Diwan

Posted

PRP.  (The patient is definitely not Australian!)

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