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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 2034 - 21st March 2018 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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70 year old male - papular eruption on back


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Anil Patki

Posted

Hyperkeratosis, hypergranulosis, atrophy of Malpighian layer, hydropic degeneration of basal cells and lichenoid infiltrate of lymphocytes extending down in the dermis, all suggest a lichen planus like keratosis of the atrophic type.

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vincenzo polizzi

Posted

What about a Grover’s disease?

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Consistent with Grover’s disease possibly secondary to drug !!!

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My first hypothesis is also Grover´s disease based on histopathologic findings, age and location of the lesion.

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Dr. Mona Abdel-Halim

Posted

I also favor Grover's

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Admin_Dermpath

Posted

From Dr Chaudhry:

Dear All - The final diagnosis was Darier's like Grover's disease. Many Thanks Iskander 

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