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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 2660 - 16 September 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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3 month-old male with verrucous plaque in a linear pattern on right thigh.

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Richard Logan


The epidermis has been cross-cut obscuring its morphology, but it does show spongiosis.  There is a suggestion of alternating ortho- and parakeratosis, especially in the first image.  I wonder if there are some bacteria in the stratum corneum in image 2.  I agree that the age, site and histological features are in keeping with a diagnosis of ILVEN.

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Krishnakumar subramanian


i was wondering whether we can tell it as psoriasiform epidermal changes and clinically correlate to rule out ILVEN. Please let me know

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