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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 2553 - 20 April 2020 Posted By: Dr. Mona Abdel-Halim

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F66, Erythematous rash over the face, erythematous scaly rash over the neck, upper chest and upper back (shoulders) as well as on the upper limbs.


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Lupus, probably acute with systemic involvement.

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Meenakshi Batrani

Posted

15 hours ago, John Zhang said:

Dermatomyositis or lupus.

Agree.

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Eman El-Nabarawy

Posted

Distribution over the neck, upper chest, upper back, shoulders (Shawl sign) is characteristic of dermatomyositis.

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I think there is a strong component of polymorphous light eruption, here.

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Dr. Mona Abdel-Halim

Posted

Histopathologically, this can be seen in LE or Dermatomyositis. Clinical and laboratory correlation was consistent with dermatomyositis. 

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