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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 2336 - 30 May 2019 Posted By: Iskander H. Chaudhry

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F48 biopsy left cheek. ?Granulomatous ?Cause


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vincenzo

Posted

Follicle-centered granulomas in facial region--->?Rosacea.

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Anil Patki

Posted

Granulomatous rosacea is certainly a possibility as Vincenzo has suggested. Periappendagial granulomas are also a feature of leprosy. 

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John Zhang

Posted

I thought about granulomatous rosacea, too. But I am also impressed by the increased stromal mucin. I wonder if this can be lupus. Rosacea usually have sebaceous hyperplasia (which is lacking in this case) and telangiectasia (which is not prominent in this case). But then, I don't know how lupus can have granulomatous areas...

Overall probably rosacea. But would like to know if the patient clinically has rosacea like changes in other areas of her face.

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Alex-Ventura-Leon

Posted

Yes, Granulomatous Rosacea is my first thought.

Just for the sake of the differential let add one more: Lichen Scrofulosorum.

Or maybe is Rosacea in a patient with pre-existing Lupus.

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Krishnakumar subramanian

Posted

Case 2331 - 23 May 2019 sir please tell us the diagnosis of this case

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Krishnakumar subramanian

Posted

dermal vague granuloma near pilosebaceous structures

? rosacea

? Hansen-special stain for AFB

 

 

 

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Mohamed khaled

Posted

I am with granulomatous rosacea for CPC.

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Admin_Dermpath

Posted

Dear All

 

this is an interesting case as the clinical was that of ? Lupus miliaris disseminatus faciei (acne agminata) and this was the best fit at the CPC ! 

 

Iskander Chaudhry 

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