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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 1618 - 7 September 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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72 year-old female with biopsy of rash from left thigh.

Case Posted by Dr Hafeez Diwan


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vincenzo polizzi

Posted

What about Bullous Pemphigoides, inflammatory early stage?...I suppose fig1 is IgG DIF, showing a n-serrated pattern.

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Nitin Khirwadkar

Posted

Assuming it is IgG & C3 at the DEJ, the H&E picture with perivascular eosinophils, would do for pre-bullous pemphigoid.

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Guest Michelle Liang

Posted

Also favour pre Bullous BP given the eosinophils in the dermis

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Dr. Hafeez Diwan

Posted

Urticarial BP.  The top images are IgG (left) and C3 (right).

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