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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 2978 - 6 December 2021 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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F, 34, Nodules over both arms and lips.Biopsy from one of the arm lesions


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Meenakshi Batrani

Posted

Sarcoidosis but only after doing bug stains especially Fite to rule out mycobacterial infection- Hansen's disease. 

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Richard Logan

Posted

3 hours ago, Meenakshi Batrani said:

Sarcoidosis but only after doing bug stains especially Fite to rule out mycobacterial infection- Hansen's disease. 

Agree.

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Foamy cells are seen in the granulomas. I would put borderline lepromatous leprosy before sarcoidosis in the list of differentials.

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Agree with above, would need to exclude infections (leprosy) , sarcoid lower in the differentials 

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On 06/12/2021 at 13:38, Anil Patki said:

Foamy cells are seen in the granulomas. I would put borderline lepromatous leprosy before sarcoidosis in the list of differentials.

Agree. 

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Dr. Mona Abdel-Halim

Posted

This was sarcoidosis. MZN stain was negative. Chest radiological evaluation showed picture consistent with pulmonary sarcoidosis.

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