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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 2608 - 06 July 2020 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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59-F, Right medial eyelid - narrow margin excision - 3mm papule ?early BCC


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Krishnakumar subramanian

Posted

granulomatous inflammation-with lymphocytes and emperipolesis-rosai dorfman disease 

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vincenzo

Posted

What about a late stage of Chalazion?

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51 minutes ago, Krishnakumar subramanian said:

granulomatous inflammation-with lymphocytes and emperipolesis-rosai dorfman disease 

Agree

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Richard Logan

Posted

I favour sarcoidosis with not-so-naked granulomata.  Nice Demodex.  Would also consider granulomatous rosacea.

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Meenakshi Batrani

Posted

Early lesions of LMDF may not show frank central necrosis, and show only granulomas which may be sarcoidal or tuberculoid. Can be considered if multiple lesions, but in this case based on clinical suspicion of BCC, seems like the lesion is single. 

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Dr. Mona Abdel-Halim

Posted

I would consider chalazion

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