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 2544 - 07 April 2020 Posted By: Uma Sundram

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

11 year old female with new ‘red spot’ on left arm.

  • Thanks 1
  Report Record

User Feedback

Small, dome-shaped, but structurally asymmetric and not maturing melanocytes lesion.

Angiomatoid reaction and Kamino's bodies push toward a Spitz nevus diagnosis, but mitosis in deep dermis and hypercromatic nuclei ( there are vesicular atypical nuclei, but also hypercromatic nuclei ) aren't consistent with this one. 

I don't s see atypical mitosis, nodular-pushing intradermal growth or epidermal prominent pagetoid spread.


Favor a Spitz Nevus, because this is a 11 y/o girl. 

A conservative enlargement could be the prudential approach, because of affected dermal margin.

Share this comment

Link to comment
Share on other sites

Atypical spitzoid tumor. l favor Spitz nevus with atypical features.

Share this comment

Link to comment
Share on other sites

Uma Sundram


Spitz nevus with atypical features. We recommended a re excision.

Share this comment

Link to comment
Share on other sites

Join the conversation

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

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.


  • Create New...