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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 2629 - 04 August 2020 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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10 year old female with erythematous papule on left arm.


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Richard Logan

Posted

No comments yet, perhaps suggesting that, like me, everyone else is finding this one difficult.  There seem to be two histological components.  In the papillary dermis there are nests of somewhat epithelioid cells with some pigment suggesting a junctional Spitz naevus.  Beneath this is a heavy lymphoid infiltration.  Within this there are areas of larger cells possibly hinting at follicle formation, or maybe these cells are related to the Spitz feature.  Perhaps this is a pseudolymphomatous reaction, but how it is related to the Spitz-like features I do not know.  I look forward to seeing what pathology colleagues think.

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Dr. Mona Abdel-Halim

Posted

What about just a Spitz nevus with halo phenomenon?

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58 minutes ago, Dr. Mona Abdel-Halim said:

What about just a Spitz nevus with halo phenomenon?

Why not?

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Victor Delgado

Posted

SPITZ vs. DPN Nevus with halo

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Miguelina de la Garza

Posted

Difficult case, agree with Spitz and halo phenomenon. 

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