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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2287 - 20 March 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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48 year-old female with lesion on left leg

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Krishnakumar subramanian


interesting-dermal thickened collagen fibers, fibrosis, eosinophilic globules, histiocytes and numerous plasma cells

I would like to rule out diabetic  nephorgenic fibrosis-any exposure to gadolinium/ renal failure

second -if no exposure to gadolinium, because of plasma cells and fibrosis rule out late stage of borreliosis


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Dr. Hafeez Diwan


Necrobiosis lipoidica diabeticorum.

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