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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 1939 - 03 Nov - Dr Richard Carr 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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F35. 5 year history of blue / black flat lesion on the thigh. Grown in pregnancy.


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Co-existent capillary haemangioma and Sutton's naevus

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Raul Perret

Posted

Agree with benign angioma, cherry angioma did cross my mind

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vincenzo polizzi

Posted

What about a long standing lesion of Angiomatoid Kaposi's Sarcoma?

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Dr. Richard Carr

Posted

I reported this as a benign (haemosiderotic) haemangioma. It's a little inflamed and there were some spindle areas but the clinical is strongly against KS and also it lacks plasma cells.

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vincenzo polizzi

Posted

Yes Richard! I was wrong! This can't be a KS. It lacks the cpc for a KS and lacks other typical morphological findings...I was completely off road!

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Admin_Dermpath

Posted

Hi Richard - would you consider a spindle cell haemangioma like component - especially looking at Fig. 8? You can get cavernous like areas in these lesions as well ?? Iskander 

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My first thought was Spindle cell hemangioma as well.

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Dr. Richard Carr

Posted

Thanks Iskander.

Yes indeed it does - I photographed that area specifically. I guess it's a type of reactive change.

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