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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 2279 - 8 March 2019 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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F60. Glabella. Previously infected cyst?

Edited by Admin_Dermpath


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Neil Catterall

Posted

Perforated infundibular cyst and ?cosmetic filler

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Anil Patki

Posted

Foreign body granuloma caused by dermal filler and ruptured trichillemal cyst. 

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Dr. Mona Abdel-Halim

Posted

Filler induced granuloma (perforating?)

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Alex-Ventura-Leon

Posted

Yes. Granulomatous reaction to dermal filler.

I know that its probably not important but let me guess: Dermalive (Acrylic hydrogel particles + Hyaluronic acid)?

Here is a nice paper about dermal fillers by Dr. Requena https://www.ncbi.nlm.nih.gov/pubmed/21167403

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agree.

Foreign body granuloma caused by dermal filler and ruptured epidermal cyst. 

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Dr. Richard Carr

Posted

Yes I reported it as a reaction to dermal filler in keeping with Dermalive.  There is transfollicular elimination of the filler. Agree the Requena paper is an excellent review. BTW I've asked the team to replace the polarising one to my original image that deliberately has a dark background to show the lack of polarisation in the foreign material which is somewhat refractile!

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