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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 2813- 19 April 2021 Posted By: Richard Logan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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M 53 lesion in the nose.


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Krishnakumar subramanian

Posted

beautiful Granuloma faciale eosinophilicum, grenz zone below epidermis and close to  adnexa

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Mohamed khaled

Posted

Agree with granuloma faciale. Is there any clinical photo for this typical example? .Thank you.

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Richard Logan

Posted

Yes, this is granuloma faciale. 

I posted it as it is a classical example of the pathology with a clear grenz zone, vascular dilation and polymorphous inflammatory infiltrate.  The cytology hasn't reproduced very clearly but there was a nice mixture of neutrophils, eosinophils, lymphocytes and a few plasma cells.  I will attach a clinical photo of the lesion biopsied, which of course was on, not in the nose.  The patient actually had several similar lesions on other parts of his head.

Granuloma faciale.jpg

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