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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 2039 - 29 March 2018 Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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27 year-old HIV-positive male with widespread lesions all over his body. This biopsy is from an unspecified site.

Edited by Admin_Dermpath


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Anil Patki

Posted

Neutrophilic eccrine hidradenitis in the setting of HIV infection

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vincenzo polizzi

Posted

Agree.  I hadn’t seen any in HIV before. And would like to see a HHV8 also. There are some slit like vessels between eccrine glands. 

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Uma Sundram

Posted

I thought the same. I also thought about PG-like KS but like NEH better.

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John Zhang

Posted

NEH was my first thought, too but upon further scrutiny I'd also like to run GMS to make sure that there are no organisms, such as crypto.

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Dr. Hafeez Diwan

Posted

Histoplasmosis, best appreciated on the bottom image. Please see the GMS below.  The patient was found to have disseminated histoplasmosis.

GMS 2.jpg

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Raul Perret

Posted

Nice case, also thought of neutrophilic eccrine hidradenitis at first spot but as a rule in immunodepressed setting should rule out bugs

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