Jump to content
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 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.
Submitted Date :
   (0 reviews)

Clinical History: 28 year-old female with left abdominal biopsy.

Case Posted by Dr Hafeez Diwan


  Report Record

User Feedback


Admin_Dermpath

Posted

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

Don't forget to follow the ACP on Twitter https://twitter.com/ACP_Pathologist

Don't forget to check out and Like our Facebook page https://www.facebook.com/DermPathPro/ plus follow our Twitter feed https://twitter.com/DermPathPro

COMING SOON... The New York Dermatopathology Review Course 

Geoff Cross - DermpathPRO Projects

mount-sinai-health-system-office.jpg

Share this comment


Link to comment
share_externally

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.

Share this comment


Link to comment
share_externally

Dr. Mona Abdel-Halim

Posted

Morphea inflammatory lesion

Share this comment


Link to comment
share_externally

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.

Share this comment


Link to comment
share_externally

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.

Share this comment


Link to comment
share_externally

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.

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...