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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 1908 - 20 Sept - Dr Uma Sundram 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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31 year old woman with hypertrophic plaques.


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Hyperkeratosis, patchy hypergranulosis, squamatization of basal cells, Max Joseph spaces and band like lymphocytic infiltrate hugging the epidermis. Hydropic degeneration not seen due to regeneration. Hypertrophic lichen planus

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Robledo F. Rocha

Posted

Yes, hypertrophic lichen planus. Lichenoid lymphocytic infiltrate and basal cell damage are tipically confined to the tips of enlogated rete ridges.

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Saman Fatah

Posted

Nice prototype! great photomicrograph good for a textbook 

Fortunately most of us enjoy the benefit of high resolution digital photography era and it makes me wonder how hard it was in the past for those who read and learn Dermatopathology in black and white era. 

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Uma Sundram

Posted

Hypertrophic LP. It's not a common diagnosis so I wanted to share a very good example.

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