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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 1967 - 13 Dec 2017 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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44 male Left third toe excision.
?MM.
FH MM.


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vincenzo polizzi

Posted

Please Dr Iskander what’s the case 1948 diagnosis?

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vincenzo polizzi

Posted

A well circumscribed and symmetrical lesion, without atypical features. Not expansive growth pattern. I think of acral type nevus. 

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Arti Bakshi

Posted

Acral naevus with site related atypia...at worst mildly dysplastic naevus.

The dermal component is naevic and matures with depth. Is there a dermal mitosis in the last image?? Even if it is, wouldnt change my diagnosis, but would have a good look around for any more mitoses.

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Uma Sundram

Posted

There is atypia, with 'nevoid' type cells and prominent nucleoli near the base. However, the lesion seems small, the patient is relatively young, and it's an acral lesion. I am leaning toward an acral nevus, but would follow over time and have the caveat that these are difficult lesions and are often seen by multiple consultants. It appears excised and I'm not sure I would send them back.

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drdeepajacob

Posted

Considering the site, age, fits with acral naevus.

These are difficult cases

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Dr. Richard Carr

Posted

Acral Spitz naevus. Looks out "watchful waiting".

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Nitin Khirwadkar

Posted

Acral naevus with spitzoid features, benign.

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Iskander H. Chaudhry

Posted

Many thanks every one. We called this an acral naevus with mild atypia! 

 

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