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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 1783 - 29 March - 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: 28 year-old female with left abdominal biopsy.

Case Posted by Dr Hafeez Diwan


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Admin_Dermpath

Posted

Apologies for delay in posting, it has been a busy day.

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I see some lymphocytes and plasma cells between thick and swollen collagen fibers. My first hypothesis is morphea and the second one is Lyme disease (Acrodermatitis chronica atrophicans). CPC is needed. Maybe a focus floating microscopy could help as well.

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Dr. Mona Abdel-Halim

Posted

Morphea inflammatory lesion

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vincenzo polizzi

Posted

Sincerely my first thought was of a granulomatous interstitial dermatitis, but the Colleagues are more convincing, so agree with inflammatory morphea!

Nice arrectores pilorum inflammatory infiltrate.

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Raul Perret

Posted

This is a hard case based only on microscopy but I also thought of early morphea in first place and infectious in second.

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Robledo F. Rocha

Posted

Agree with Igor. Loss of pilosebaceous units with unchangeable permanence of arrector pili muscles is a clue to morphea, the idiopathic one as well as the one related to Lyme disease.

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