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 1927 - Dr Iskander Chaudhry (Invited) 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)

Male 55 year old
Left anterior shoulder 5mm punch biopsy
Multiple itchy lesions, mostly nodules trunk +forearms

Edited by Admin_Dermpath


  Report Record

User Feedback


Scale- crust, intraepidermal and subepidermal edema and mononuclear cell infiltrate point towards an insect bite reaction. Paucity of eosinophils suggests that it could be due to flea or mosquito bites.

Share this comment


Link to comment
share_externally

vincenzo polizzi

Posted (edited)

Mmmh...Itching, multiple lesions on trunk and forearms, histologically half acantholytic half spongiotic, half bullous...what about a Grover's disease?

Edited by vincenzo polizzi

Share this comment


Link to comment
share_externally

This is really difficult to judge without more clinical details. Is there a crater in the lesion? Does the patient have co morbidities like DM and/or CRF? The infiltrate is too heavy and deep (upto the panniculus) for it to be Grover's and the epidermal lesion is too broad for a perforating disorder. Let's see what Iskander Bhai thinks about it. BTW, best wishes to all on the occasion of Deepavali, the festival of lights!

Share this comment


Link to comment
share_externally

Admin_Dermpath

Posted

From

Dr Chaudhry

 

Dear All 

I have added one more image to give you a final clue!!

 

 

 

Share this comment


Link to comment
share_externally

Mariantonieta Tirado

Posted

Clinical sounds like Grover but morphology not so much. Other differentials include arthopod reaction (too superficial for it), bullous dermatomycosis.

Share this comment


Link to comment
share_externally

Iskander H. Chaudhry

Posted

Dear All - thank you for your comments. The patient had a family history of Hailey-Hailey disease although I suggested the two differentials Hailey-Hailey like Grover's and Hailey-Hailey disease; clinician preferred the latter despite the clinical presentation. 

Share this comment


Link to comment
share_externally

THOMASPAULO

Posted

Grover disease.

Thomas Paulo MD

Natal RN , Brazil

 

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...