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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 2984 - 14 December 2021 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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25 year old male with recent diagnosis of sarcoma, now with new crusted papules.
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Go to records December 2021

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Anil Patki

Anil Patki 4

Posted (edited)

Herpesvirus infection in the setting of immunodeficiency. The intraepidermal vesiculation and necrosis of the sebaceous gland is noteworthy suggesting herpetic folliculitis. 

Edited by Anil Patki
Spelling mistake

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Krishnakumar subramanian

Krishnakumar subramanian 0

Posted

epidermal necrosis and inflammation of sebaceous glands

can we think some drug rash

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Uma Sundram

Uma Sundram 169

Posted

Herpes folliculitis in setting of Immunocompromise due to chemotherapy. Hsv immunohistochemistry +.

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vincenzo

I’m late. Yes. My spot was “Difficult case of HV-folliculitis” ( necrotic single cells are a clue, but the nuclear ground glass is just barely guessed in second pic. Thanks Uma for this amazing case. 

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Krishnakumar subramanian

Krishnakumar subramanian 0

Posted

Thanks for this case, i learnt  Dr Uma

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