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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 2725 - 16 December 2020 Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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61 year-old with rash on neck, chest, and arms for 1 year, worse with sun exposure.


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Richard Logan

Posted

Cell-poor vacuolar interface reaction with hyperkeratosis, epidermal atrophy and pigmentary incontinence.  Associated peri-vascular and peri-adnexal lymphocytic infiltrate.  I think this is lupus, possibly sub-acute type. Suggest Anti-Ro/La  antibody check.

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I think there is too much dermal mucin. So agree with a subacute lupus, getting worse after sun exposure. 

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Dr. Hafeez Diwan

Posted

The patient has known SLE.  So lupus erythematosus.

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