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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 1753 - 15 February - Dr Hafeez 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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Clinical History: 23 year-old female with biopsy of a rash on the chest.

Case Posted by Dr Hafeez Diwan


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Admin_Dermpath

Posted

Dr Hafeez Diwan has a nice case here, don't rash into your diagnosis  :-)

 

Geoff Cross - DermpathPRO Projects

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Dr. Richard Carr

Posted

Geoff - Don't give up the day job. I seem to be losing a lot of REM sleep myself though.

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Dr. Mona Abdel-Halim

Posted

Nice comment Dr Carr :-))

Thought of REM before reading Dr Carr's comment :-))

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vincenzo polizzi

Posted

REM fits clinically well.

 I must honestly confess I was thinking about a LET ( perivascular and periadnexal infiltrate is dense, and mucin deposits are  deeply located in dermis). 

But REM is probably more correct!

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Robledo F. Rocha

Posted

Superficial and deep perivascular and periappendageal lymphocytic infiltrate associated with abundant mucin deposits widening the interstitial space between collagen bundles. Epidermal basal cell damage is lacking. This combination of microscopic characteristics make me think of lupus erythematosus tumidus. Reticular erythematous mucinosis is an excellent thought, too. Once both overlap clinical and histopathological features (actually, they are indistinguishable in the majority of cases), I believe they are manifestations of the same disease.

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Raul Perret

Posted

My thought was REM too, agree with Robledo regarding overlap of entities. 

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Dr. Richard Carr

Posted

Agree with comments about the density of the infiltrate being a feature in favour of lupus.

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