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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 1627 - 20 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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48 year old woman with right upper back lesion.

Case Posted by Dr Uma Sundram


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Admin_Dermpath

Posted

Here is Dr Uma Sundram's latest Spot Diagnosis Case of the Day, when you figured this one out take a look at the 'Video Case of the Week' which has just been updated.

 

Cheers, Geoff Cross

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Dr. Mona Abdel-Halim

Posted

I am also thinking of a desmoplastic nevus.

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Raul Perret

Posted

My impression was hypopigmented blue nevus, according to Mckee's book this entity is in the same spectrum (or is actually the same entity) of desmoplastic blue nevus. Personally, I like to see more abudant sclerotic broad collagen to call it desmoplastic, but I think this is a matter of taste.

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Nitin Khirwadkar

Posted

I think this is a combined naevus sclerosing and blue.

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Uma Sundram

Posted

Wow, I did not think this was controversial at all :)

Agree with all of your comments. I favored hypopigmented blue nevus. Combined nevus would work as well.

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Dr. Richard Carr

Posted

Agree with hypopigmented blue naevus.  Usually S100 negative, melanA positive as opposed to a naevocellular naevus with is S100 positive.

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