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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 2990 - 22 December 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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10 year-old male with a 2 year history of lateral neck papule.


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Follicular granuloma..( epithelioid granuloma mycobacterium-avium or similar like ).. I’m not able to understand this without clinical informations. Interesting case 

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Maybe some sort of parasitic egg/body part with granulomatous reaction?

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Could be some foreign body like a thorn spicule around which there is a reaction.

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Krishnakumar subramanian

Posted

some parasitic component with a granulomatous inflammation, but why there are no eosinophils, that's ODD

i am waiting for answer

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Dr. Hafeez Diwan

Posted

Tick mouthpart (in my opinion; that's what I called it). The color and shape was consistent with this.

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