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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1623 - 14 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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62 year-old female with biopsy from left forearm.

Case Posted by Dr Hafeez Diwan
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  Report Record
Go to records September 2016

User Feedback


vincenzo polizzi

vincenzo polizzi 185

Posted

Septal panniculitis with few inflammatory foci extending into the adjacent lobular fat. The infiltrate is predominantly lymphoid, but there are plasma cells and some neutrophils also. Interlobar septa are hyalinized and don't see any giant cells. Early erythema nodosum could lack granulomatous and giant cells, but the other 

histological findings with topography make me favour morphea panniculitis...Obviously this is a spot diagnosis. CPC is mandatory for a final diagnosis. 

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

I think there r also esinophils, site also puts esinophilic fasciitis as a diferential diagnosis for CPC.

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vincenzo polizzi

vincenzo polizzi 185

Posted

Yes. I didn't see eosinophils...( only one maybe ) but agree with Mona comment.

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Raul Perret

Raul Perret 262

Posted

Agree with the differentials, cpc really important here

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