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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 2490 - 21 January 2020 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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16 year old male with slowly growing large (6 cm) lesion in the gluteal cleft.


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Eman El-Nabarawy

Posted

I have 2 thoughts: Fibrofolliculoma/Trichodiscoma with fat lobules presenting as acrochordon (? Birt-Hogg Dube syndrome) or

Nevus lipomatosus superficialis with follicular component!

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Krishnakumar subramanian

Posted

Fibroepithelial polyp

am I missing something

KK

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Dr. Mona Abdel-Halim

Posted

I am between nevus lipomatosus with a follicular component or a fibroepithelial polyp. The patient is young. If this was present at birth or started early in life then I would favor a nevus lipomatosus. 

 

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Uma Sundram

Posted

Nevus lipomatosis. It's the biggest one I have ever seen in clinical practice, so I wanted to share with you. The gluteal cleft is not an uncommon location.

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