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 2091 - 12 June 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 :
   (0 reviews)

45 year old man with double below the knee amputations from a motor vehicle accident 10 years ago, now with recurrent verrucous papules on the left knee.

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User Feedback


Anil Patki

Posted

Pseudoepitheliomatous hyperplasia and dilated lymphatics in the dermis- this is verrucous hyperplasia of the amputation stump.

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Need clinical information and pictures. It' s a recurrent lesion so need to consider verrucous carcinoma in the differential diagnosis. 

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vincenzo polizzi

Posted

Verrucous Carcinoma!!!

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Uma Sundram

Posted

You all got to the difficult aspect of this case. We were considering both verrucous carcinoma (rare in this setting) and verrucous hyperplasia of amputation site. We asked the clinicians to treat this as if it were a verrucous carcinoma, as it had recurred and the level of pushing borders was unusual for verrucous hyperplasia of amputation site. Difficult case.

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