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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 2104 - 29 June 2018 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F20. Sebaceous cyst inner thigh close to labium major.

Edited by Admin_Dermpath


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Anil Patki

Posted

An epidermal cyst with papillated lining and coarse, irregular keratohyaline granules. Looks like a verrucous epidermal cyst (HPV related).

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Agree with HPV-related Verrucous Epidermal Cyst.

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Alice Roberts

Posted

I agree, verrucous epidermal cyst.  Did not know about HPV connection.

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Dr. Richard Carr

Posted

Agree with verrucous follicular cyst but I think this one clearly hybrid infundibular-tricholemmal. They are HPV associated. I'm not aware of any specific connection with HIV. Tricholemmal cases (of verrucous epidermoid cyst) are rare. I advised checking that patient is up to date with cervical screening and should be checked for other HPV associated lesions.

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Alice Roberts

Posted

Ha! A significant typo! Corrected to HPV now.

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