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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 1653 - 26 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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70 year-old male veteran with biopsy from left index finger.

Case Posted by Dr Hafeez Diwan


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Admin_Dermpath

Posted

Get your day off to a bang with this intriguing case posted by Dr Hafeez Diwan

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vincenzo polizzi

Posted

This case is truly a bang...but also too difficult for me. There are banana shaped brown deposits resembling ochronosis (hydroquinone creams? ), but it's very difficult to distinguish the other material: ? oxalosis

? sulphuric material on a old healed wound, treated with hydroquinone...

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Guest Charlie Keen

Posted

Consider parasite ova e.g. shistosoma.

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Dr. Mona Abdel-Halim

Posted

Definitly foreign body reaction plus possibly exogenous ochronosis and calcification on top!!! 

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Dr. Hafeez Diwan

Posted

This is actually shrapnel from an old war wound.  The last two images show that polarization of this material.

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