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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 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.
Submitted Date :
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31 year old woman with hypertrophic plaques.
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  Report Record
Go to records September 2017

User Feedback


Anil Patki

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

Robledo F. Rocha 336

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

Saman Fatah 10

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

Uma Sundram 169

Posted

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

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