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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 1873 - 02 Aug - Dr Diwan Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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55-year-old male with history of colon cancer, with sudden eruption of painful erythematous papules and plaques with central vesicles. This biopsy is from the right thigh.

Edited by Admin_Dermpath


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Saman Fatah

Posted

Nice example of Sweet's (Acute Febrile Neutrophilic Dermatosis). It is certainly no so "Sweet" for a suffer of this condition as quoted eloquently by one of the patients. In this context, it is worth considering a search for recurrence of colonic cancer if clinically appropriate. 

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vincenzo polizzi

Posted

Agree. MASS (Malignancy Associated Sweet Syndrome). 

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Dr. Hafeez Diwan

Posted

Sweet's.  This had many histiocytoid cells and so it was called histiocytoid Sweet's.

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Dr. Mona Abdel-Halim

Posted

Too late :-( lovely photos 

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