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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 2693 - 02 November 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.
Submitted Date :
   (0 reviews)

Spot diagnosis, Rash on the face.


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Krishnakumar subramanian

Posted

thickened basement membrane with perivascular and perifollicular lymphocytes

Lupus erythematosus

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Richard Logan

Posted

There is an upper dermal perivascular and periadnexal lymphocytic infiltrate, associated with vasodilation.  The basement membrane appears thickened and prominent in images 1-3, but less so in closeup in image 4.  Strangely there is no associated epidermal interface inflammation.  I suspect this is LE, but rosacea would also have to be considered.

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Admin_Dermpath

Posted

Case updated with Immunohistochemistry stains.

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Dr. Mona Abdel-Halim

Posted

10 hours ago, Admin_Dermpath said:

Case updated with Immunohistochemistry stains.

With histochemical stains.. 

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Dr. Mona Abdel-Halim

Posted

Thank u all, I thought this is a beautiful example of DLE!

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