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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 1874 - 03 August - Dr Arti Bakshi 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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53/M, unusual rash both axilla and arms
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Go to records August 2017

User Feedback


Raul Perret

Raul Perret 262

Posted

Agree, unusual presentation in adult.

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vincenzo polizzi

vincenzo polizzi 185

Posted

Agree, unusual adult presentation and unusual cytology, mildly atypical, like Letterer-Siwe in children or Hand Schuller Christian... cpc important in thi case. Has the patient any bone lesion or diabetes insipidus or exoftalmos? HSC disease involves adult people sometimes. 

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Yes, LCH. Unusaual presentation in an adult. Beautiful coffee bean and reniform nuclei.

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

Agree, Langerhans cell histiocytosis.

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Arti Bakshi

Arti Bakshi 286

Posted

Yes, agree with all. LCH.

Patient has a know longstanding history of LCH with pituitary involvement.

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