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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 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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vincenzo polizzi

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

Posted

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

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vincenzo polizzi

Posted

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

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Raul Perret

Posted

Agree with the differentials, cpc really important here

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