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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 2006 - 13 Feb 2018 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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12 year old female with 0.8 cm pink papule on right upper arm. What are your management recommendations?


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User Feedback


I favor spitz nevus, even with occasional mitotic figures. The lesion is symmetrical, maturing and the patient is young. Recommend excision.

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Dr. Mona Abdel-Halim

Posted

Spitz, complete excision and that's it!

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Uma Sundram

Posted

I did indeed call this Spitz nevus, and added with atypical features. I recommended a re excision. While I don't expect anything bad to happen, the patient is an adolescent, and her age and the mitotic figures should prompt a re excision and close follow up.

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