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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 2360 - 8 July 2019 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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68 year old male with lesion on left scrotum.

Edited by Admin_Dermpath


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Krishnakumar subramanian

Posted

acanthoma with neutrophils

this is very classical

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IgorSC

Posted

Yes, clear cell acanthoma. But I would like to add as a differential diagnosis the Verruciform Xanthoma .It is also common in the scrotum and presents with acanthosis, neutrophil exocitosis and dermal papillae alongation, but we would see xanthomatous histiocytes. Not on this case, however.

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Dr. Richard Carr

Posted

Igor you need to re-visit 2030, 2205 and 1028. In VX you get rather distinctive warty hyperplasia and "odd" keratinisation. This case does not have those distinctive features. Warm regards.

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6 hours ago, Dr. Richard Carr said:

Igor you need to re-visit 2030, 2205 and 1028. In VX you get rather distinctive warty hyperplasia and "odd" keratinisation. This case does not have those distinctive features. Warm regards.

Yes, I agree with you!

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