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 2339 - 4 June 2019 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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1 year old female with plum colored papule on left finger

Edited by Admin_Dermpath


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Alex-Ventura-Leon

Posted (edited)

A little bit cellular and by areas with some resemblance to tufted angioma but agree that fit more with Pyogenic Granuloma.

Edited by Alex-Ventura-Leon

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Meenakshi Batrani

Posted

Differential could also include Proliferative phase of infantile hemangioma, in view of age and cellularity. But overall features and exophytic configuration, favours pyogenic granuloma 

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Mohamed khaled

Posted

Lobular capillary hemangioma versus congenital hemangioma. The answer depends of the onset, the course and Glut-1 stain. 

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Dr. Mona Abdel-Halim

Posted

Pyogenic granuloma (due to architecture) more than strawberry nevus or congenital hemangioma. CPC needed. 

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Uma Sundram

Posted

Does look like PG doesn't it?

Patient has had this from birth, strongly suspected clinically to be infantile hemangioma. Glut1 was positive. Here's the seminal paper=

GLUT1: a newly discovered immunohistochemical marker for juvenile hemangiomas.

North PE, Waner M, Mizeracki A, Mihm MC Jr.

Hum Pathol. 2000 Jan;31(1):11-22.

 

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