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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: 2527 - 13 March 2020 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F62. 5/12 history of hyperkeratotic papules legs and back ?Flegel's ?Kyrle's ?SebK


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Dr. Mona Abdel-Halim

Posted

Grover's disease.

 

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Difficult for me. Something like actinic keratosis...why not a Disseminated Superficial Actini Porokeratosis?

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Eman El-Nabarawy

Posted

It's difficult. I have been thinking and searching. What about  Human polyomavirus reaction such as HPyV6- and HPyV7-associated pruritic and dyskeratotic dermatosis.

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Meenakshi Batrani

Posted

Grover disease with sun-induced lentiginous freckling has been described which histologically resembles Dowling Degos/Galli-Galli or solar lentigo. Vice-versa, atypical variants of Galli-Galli disease have been described with Grover disease like eruption and lentigenous freckling. And some of the authors consider that the cases of Grover's disease with lentigenous pattern are variants of atypical Galli-Galli disease. With the current literature I am not sure of this distinction. 

 

Atypical Variant of Galli–Galli Disease (Grover-Like Eruption With Lentiginous Freckling) in a Liver Transplant Patient. The American Journal of Dermatopathology: July 2011 - Volume 33 - Issue 5 - p 504-507

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Saman Fatah

Posted

? Porokeratosis with follicular involvement or follicular porokeratosis on a background of chronic sun-exposure.

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Krishnakumar subramanian

Posted

Dowling–Degos disease

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Anil Patki

Posted

Difficult to fit into a single diagnosis. Clinically Flegel's, but histologically looking like stucco keratosis. 

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Dr. Richard Carr

Posted

Very interesting responses especially from Meenakshi. I opted for Grover's with solar lentigo-like and Galli Galli-like features. 

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