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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 2204 - 20 November 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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F63, scaly papular rash.


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AmerSM

Posted (edited)

Pleva or lichenoid drug eruption

Edited by AmerSM

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Alex-Ventura-Leon

Posted

The presence of eosinophils make me think in Lichenoid drug eruption.

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Victor Delgado

Posted (edited)

There is a lichenoid interfase dermatitis with eos and a little bit of hypergranulosis, vacuolar degeneration of the basal layer with clusters of necrotic keratocytes makes more probably lichenoid drug reaction.

Edited by Victor Delgado
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A scaly papular rash, with lichen planus-like reaction and pigment in dermis makes me think of lichen planus pigmentosus, but too many eosinophils in inflammatory infiltrate...CPC mandatory here..

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Iskander H. Chaudhry

Posted

Thank you everyone - final diagnosis was lichenoid drug eruption! 

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