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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 2713 - 30 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.
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M28, Very long history (dating since early childhood as the patient recalls). Pruritic papules and nodules over both legs, some are crusted. Many lesions are studded with milia.


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Richard Logan

Posted

I think this is probably epidermolysis bullosa pruriginosa, a rare variant of dystrophic EB.  It is due to a mutation in COL7A1.

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3 hours ago, Richard Logan said:

I think this is probably epidermolysis bullosa pruriginosa, a rare variant of dystrophic EB.  It is due to a mutation in COL7A1.

I´ve seen some cases of epidermolysis bullosa pruriginosa, but i never saw so much milium formation. It is a good hypothesis. Epidermolysis bullosa pre-tibial is another possibility.

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I’m afraid I’m a bit in the dark, on this topics, but the Richard’s dx purpose looks like the right way.  

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The subepidermal reactive granulation tissue fits well this diagnosis. 

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Dr. Mona Abdel-Halim

Posted

Thank you all and well done!

This was diagnosed as EB pruriginosa

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