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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 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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Go to records November 2020

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Richard Logan

Richard Logan 0

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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IgorSC
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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vincenzo

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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vincenzo

The subepidermal reactive granulation tissue fits well this diagnosis. 

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Thank you all and well done!

This was diagnosed as EB pruriginosa

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