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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 2272 - 27 February 2019 Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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M65 with a cough and a small nodule on his right neck (case courtesy of Dr. John Griffin)


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Mohamed khaled

Posted (edited)

Sarcoidal granulomas

please for special stains.

 

Edited by Mohamed khaled

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Mohamed khaled

Posted

Sarcoidal granulomas

suggestive of sarcoidosis

please for special stains and thorough work up.

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Alex-Ventura-Leon

Posted

Paracoccidioidomicosis ?

Waiting for the special stains

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Krishnakumar subramanian

Posted

non caseating granuloma , with a few eosinophils in it and  small cyst like structure.

GMS stain to r/o deep fungal infection

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Dr. Mona Abdel-Halim

Posted

Interesting! first time to c esinophils within sarcoidal granuloma. The rounded structure with thick wall looks like containing sporangia? thinking of protothecosis? 

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