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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 1875 - 04 August - Dr Richard Carr 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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F80. Ayptical mole on the wrist. Curetted.

Edited by Admin_Dermpath


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Dr. Mona Abdel-Halim

Posted

Reticulated seb k, but do not know what is going in the dermis (first image) from this magnification. Otherwise, reticulated seb K. 

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urmilapandey

Posted

wondering if there is cystic invagination  in image 1

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vincenzo polizzi

Posted

Yes, SK, reticulated type, agree!

A typical example of what may happens in pathology: sometimes the diagnostically easiest lesion become the most difficult one....!

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Anil Patki

Posted

One may call it acanthotic type rather than reticulated. Reticulum= net and reticulated SK should show a network of thin strands of keratinocytes.

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Nitin Khirwadkar

Posted

Pigmented Seb K/actinic lentigo. As Mona has pointed out, not sure what is happening in the dermis in the first image ? some calcification

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Dr. Richard Carr

Posted

Dear All 

Diagnosis: Seborrhoeic keratosis with pale basal keratinocytes mimicking atypical basal melanocytic proliferation.

Have a great weekend! 

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