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?

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Case Number : Case 2130 - 8 August 2018 Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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32 year-old female with biopsy from left axilla.

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User Feedback


vincenzo

Posted

  • Common anomaly which can arise anywhere along the "milk line," which extends from the axilla to the groin, and occasionally at other sites
  • Mammary ducts opening into the epidermis or into pilosebaceous units
  • I'm not able to see scattered muscle bands, but it's the same for me: this is a supernumerary nipple.

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Anil Patki

Posted

Keratotic follicular plugging with spongiosis around it and a sweat gland coil with infiltrate containing foamy histiocytes around it with location in the axilla point towards Fox Fordyce disease.

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John Zhang

Posted

Quote

 

I vote for supernumerary nipple. The micropapillary appearance of the duct lining and periductal edema is more in keeping with a breast gland than a skin apocrine gland. I hope these findings are not incidental to the findings in the epidermis. Clinical correlation may tell us the answer.

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Dr. Mona Abdel Halim

Posted

I also thought of Fox Fordyce

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