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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm 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.
Submitted Date :
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F20. Sebaceous cyst inner thigh close to labium major.
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Edited by Admin_Dermpath

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Anil Patki

Anil Patki 4

Posted

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

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vincenzo

Agree with HPV-related Verrucous Epidermal Cyst.

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Alice Roberts

Alice Roberts 10

Posted

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

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Dr. Richard Carr

Dr. Richard Carr 622

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

Alice Roberts 10

Posted

Ha! A significant typo! Corrected to HPV now.

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