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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2641 - 20 August 2020 Posted By: Saleem Taibjee

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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28-F, 9/12 history of sclerotic lesion right abdominal wall.

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Saleem Taibjee


Hi. I felt that this is an example of co-existence / overlap of lichen sclerosus as well as morphoea. I felt that there is an element of compact hyperkeratosis, epidermal atrophy and papillary dermal sclerosis, which would not usually be seen in morphoea alone.

I have seen this not infrequently. Here is a reference Kreuter A, et al. Coexistence of lichen sclerosus and morphea: a retrospective analysis of 472 patients with localized scleroderma from a German tertiary referral center. J Am Acad Dermatol 2012;67:1157-62

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Richard Logan


I should have known it wouldn't be that easy!

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