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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 2254 - 1 February 2019 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F35. Upper chest. Spot Diagnosis.


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Alex-Ventura-Leon

Posted

Epithelioid Hemangioma (Aka Angiolymphoid Hyperplasia with eosinophils)

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vincenzo

Posted (edited)

Yes, ALHE. The challenge of this case, for me, lies on an odd similarity to the Castlemann disease and the atypical location, but finally histiocytoid property of endothelial cells and eosinophils win!!!

Edited by vincenzo

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Dr. Richard Carr

Posted

The clinical diagnosis was ?pyogenic granuloma. I called it a pyogenic granuloma with ALHE/EH-like features. I've often felt there is are overlap cases between PG, ALHE and cutaneous epithelioid angiomatous nodule.

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Dr. Mona Abdel-Halim

Posted

I thought of epithelioid hemangioma

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Mohamed khaled

Posted

Angiolymphoid hyperplasia.

Remember that both PG and ALHE could be related to trauma.

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