Jump to content
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 2618 - 20 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 :
   (0 reviews)

62M, Incisional biopsy Right forearm. Erythematous scaly plaque ?LP ?Psoriasis. Recently diagnosed with interstitial lung disease.


  Report Record

User Feedback


Please Dr Iskander, what’s the 2608 and 2615 diagnosis?

Trichophyton rubrum folliculitis ( Majocchi’s Granuloma ). 

Share this comment


Link to comment
share_externally

Richard Logan

Posted

At first glance this looks like either lichen plano-pilaris or lupus.  However, there are too many neutrophils in the infiltrate and I agree with Vincenzo that an infective folliculitis (fungal or bacterial) is more likely.  Deeper cuts through the follicle would be interesting, as would a PAS and Gram stain.

Share this comment


Link to comment
share_externally

Krishnakumar subramanian

Posted

fungal filaments seen and in dermis vague granuloma with yeast like strictures seen. Need a GMS and PAS stain

How to connect to the lung disease is he on steroids or does he have any other systemic problems like RA with associated lung disease  where he may get Methotrexate. I would not think of CARD 9 mutation at this age where there could be systemic dermatophytosis

waiting for answer eagerly

Share this comment


Link to comment
share_externally

Dr. Mona Abdel-Halim

Posted

Lovely! Fungual folliculitis, mostly he is receiving an immunosuppressive for his interstitial lung disease  

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...