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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 2583 - 01 June 2020 Posted By: Dr. Mona Abdel-Halim

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F30, Purpuric papules, telangiectatic spots and small ulcers around the ankles.


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Nonvasculitic oclusive vasculopathy 

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Josie Bisi

Posted

Livedoid vasculopathy - intraluminal thrombosis, proliferation of the endothelium and segmental hyalinization of dermal vessels. There is female preponderance in the ratio of 3:1. Disease manifestations start either in late adolescence or middle age.

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Meenakshi Batrani

Posted

14 hours ago, Josie Bisi said:

Livedoid vasculopathy - intraluminal thrombosis, proliferation of the endothelium and segmental hyalinization of dermal vessels. There is female preponderance in the ratio of 3:1. Disease manifestations start either in late adolescence or middle age.

Agree with livedoid vasculopathy

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vincenzo

Posted

I see intracapillary microtrombosis, but not vascular segmental hyalinization. I think this is an acute event, and it could be a drug induced  purpuric dermatitis. 

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Dr. Mona Abdel-Halim

Posted

This was diagnosed as Lividoid vasculopathy (atrophie blanche), clinical was typical too

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