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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 2018 - 01 March 2018 Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Clinical History: A 16-month-old male Caucasian patient was referred with an eight-month history of chronic incessant, intensely pruritic crops of pustules predominantly affecting the scalp area, the face and limbs. The child’s mother reported that the pustules occurred intermittently in crops and were aggravated by childhood viral illnesses. The child was not taking any regular medication and his family history was unremarkable. He had been prescribed numerous courses of oral antibiotics and topical steroids of varying potencies with little benefit.
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Edited by Admin_Dermpath

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dermpath1

dermpath1 3

Posted

Hypereosinophilic syndrome.

CBC and differentials are advised.

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Saman Fatah

Saman Fatah 10

Posted

Eosinophilic pustulosis of infancy (AKA Eosinophilic pustular folliculitis of infancy), not all biopsies shows follicular involvement as previously thought.

Cutaneous manifestation of Hyper IgE syndrome is a histological DDx and requires integration of other information from CPC. 

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Admin_Dermpath

Admin_Dermpath 1,198

Posted

From Dr Saleem Taibjee

I am favouring eosinophilic folliculitis, the scalp predilection is a clue. Have seen 2-3 cases. It seems to gradually resolve with time.

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Uma Sundram

Uma Sundram 169

Posted

Agree. A great case. I would also consider something really simple (common things being common), like scabies or other types of insect bite reactions.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Esinophilic pustular folliculitis

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