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 2506 - 13 February 2020 Posted By: Saleem Taibjee

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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62F parietal scalp ?cyst


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Dr. Mona Abdel-Halim

Posted

Epithelioid hemangioma (angiolymphoid hyperplasia with esinophilia)

 

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vincenzo

Posted

Subtle epithelioid changes, but fully agree with Mona and Eman. 

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Meenakshi Batrani

Posted

ALHE or Kimura. Large lymphoid follicles and deeper location, more common in Kimura

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Saleem Taibjee

Posted

I definitely favoured epithelioid haemangioma over Kimura's disease, but agree that this is the differential.

I was happy that there is convincing epithelioid change to the vessels here, the vacuolisation of the endothelial cells is a further clue.

Kimura's is vanishingly rare in our demographic population.

BW
Saleem

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