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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 1863 - 19 July - 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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75 year-old male with right hand lesion.


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Anil Patki

Posted

Ruptured trichilemmal (or hybrid?) cyst with foreign body reaction

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vincenzo polizzi

Posted

My first thought is superficial angiomyxoma.  The second one is cutaneous nodular fasciitis with entrapped follicular cyst. Useful a CD34 stain(pos in angiomyxoma). 

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urmilapandey

Posted

agree with Vincenzo, favour superficial angiomyxoma. epithelial inclusions are described, although this one is quite big.

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Raul Perret

Posted

The neutrophils seen in the last image are alsp a nice clue for superficial angiomyxoma. I think the topography is just a bit infrequent (acral) and may bring the differential with superficial acral fibromyxoma. Nevertheless, the histologic features seen are for me in keeping with SA.

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Dr. Hafeez Diwan

Posted

Superficial angiomyxoma.

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Dr. Mona Abdel-Halim

Posted

Lovely, I am late but also thought of sup angiomyxoma

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