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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 2514 - 25 February 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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35 year old male with large (10 cm) lesion on right foot.
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Go to records February 2020

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Krishnakumar subramanian

Krishnakumar subramanian 0

Posted

xanthoma , let us get the lipid profile so we can classify whether it is lipemia xanthoma or normolipemic xanthoma

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vincenzo

Agree with Giedrius. It isn't the periorbital region, but...why not a Necrobiotic XG? 

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Eman El-Nabarawy

Eman El-Nabarawy 69

Posted (edited)

There is a report of a solitary variant of NX without paraproteinemia over the thigh. 

Edited by Eman El-Nabarawy

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Uma Sundram

Uma Sundram 169

Posted

Tendinous xanthoma. Patient has normal lipid profiles. There are reports of NXG type changes in patients with lesions that otherwise look like tendinous or tuberous xanthoma. No paraproteinemia documented in this patient and no other lesions.

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Krishnakumar subramanian

Krishnakumar subramanian 0

Posted

can we call it as normolipemic xanthoma presenting as solitary xanthoma leg. were there no lesions

it could be not one of the plant sterols

since no paraprotein documented we need to monitor the patient

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