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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 2585 - 03 June 2020 Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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27 year-old female with biopsy of rash. She has been treated for psoriasis unsuccessfully.

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Josie Bisi

Posted (edited)

5 hours ago, vincenzo said:

Secondary Syphilis.

Agree. Psoriasiformis dermatitis, with intracorneal neutrophils, interface changes and inflammatory infiltrate with plasm cells.

Edited by Josie Bisi

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Dr. Hafeez Diwan


Indeed, secondary syphilis. Anti-spirochete antibody was positive, as would be expected.

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Thanks Dr Hafeez. But I have a question: is the pic 6 important for the correct diagnostic suspect?

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