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 2140 - 22 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.
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36 year-old female with vulvar/fourchette and perianal rash. This is a vulvar biopsy.

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User Feedback


Alice Roberts

Posted

I agree with Anil with the caveat that Hailey Hailey disease should be ruled out clinically, as I don’t know if this is a papular rash and don’t see corps ronds/grains.  

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Anil Patki

Posted

Had thought of Hailey Hailey, but since we have recently had one typical case of it posted recently, I thought that the admin won't repeat it so soon! 

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Dr. Hafeez Diwan

Posted

This one fit better clinically with acantholytic dermatosis of the genitocrural region.

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