Jump to content
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 2441 - 11 November 2019 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

59 year old male - lesions on forehead and back showing similar histology. Biopsy excision on lesion on back ? BCC ? Scar

Edited by Admin_Dermpath


  Report Record

User Feedback


This one is difficult. This lesion on the forehead made me think in Granuloma faciale, with its mixed inflamatory infiltrate, vasculitis, grenz zone, etc. but than I saw that the patient has the same lesions on the back. It is still possible, but I believe there´s other diagnosis for it.

Share this comment


Link to comment
share_externally

Krishnakumar subramanian

Posted

Yes this is granuloma faciale 

back lesion we must get the biopsy

Share this comment


Link to comment
share_externally

Prominence of neutrophils over eosinophils in the mixed infiltrate suggests erythema elevatum diutinum. 

Share this comment


Link to comment
share_externally

16 hours ago, IgorSC said:

This one is difficult. This lesion on the forehead made me think in Granuloma faciale, with its mixed inflamatory infiltrate, vasculitis, grenz zone, etc. but than I saw that the patient has the same lesions on the back. It is still possible, but I believe there´s other diagnosis for it.

Agree. 

Share this comment


Link to comment
share_externally

Krishnakumar subramanian

Posted

however the site is not suggestive of EED 

Share this comment


Link to comment
share_externally

Admin_Dermpath

Posted

Many thanks all 

 

Yes it is a difficult case and we discussed it at our CPC and the final diagnosis was: extrafacial granuloma faciale

 

 

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...