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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 2899 - 17 August 2021 Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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63-year-old female with rash in left inguinal crease


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Richard Logan

Posted

Dense, dermal granulomatous inflammation with Langhans' giant cells and reactive epidermal pseudo-epitheliomatous hyperplasia.  Histology would do for mycobacterial infection or Crohn's disease.

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Krishnakumar subramanian

Posted

agree 

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Eman El-Nabarawy

Posted

Granulomatous inflammation..History, clinical correlation plus workup for infections (special stains and culture) is required .

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Granulomatous inflammation, CPC , Would want to exclude Crohns, also infections 

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Dr. Hafeez Diwan

Posted

Cutaneous Crohn's. The patient has Crohn's disease.

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