Jump to content
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 2739 - 5 January 2021 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
50 year old male with perianal lesion.
picture-1
picture-2
picture-3
picture-4
picture-5
picture-6
  • Like 2
  Report Record
Go to records January 2021

User Feedback


vincenzo

Difficult! ? dAIN-associated micro invasive scc ( with some adenoid cystic change ). 

Share this comment

Link to comment
share_externally
Alex-Ventura-Leon

Alex-Ventura-Leon 0

Posted

Pemphigus vegetans is also my opinion. Although, i dont know what does image 5 try to show us.

Share this comment

Link to comment
share_externally
Uma Sundram

Uma Sundram 169

Posted

Localized pemphigus vegetans. DIF was positive. Patient with long history of vegetative lesions in intertriginous areas. What do you all think of image 5? Any ideas?

Share this comment

Link to comment
share_externally
Alex-Ventura-Leon

Alex-Ventura-Leon 0

Posted

3 hours ago, Uma Sundram said:

Localized pemphigus vegetans. DIF was positive. Patient with long history of vegetative lesions in intertriginous areas. What do you all think of image 5? Any ideas?

It reminds me what we see in other organs (specially breast) and its called collagenous spherulosis

Share this comment

Link to comment
share_externally
Dr. Richard Carr

Dr. Richard Carr 622

Posted

I'd guess it was a reactive cross cut follicle or maybe a perianal duct.

Share this comment

Link to comment
share_externally


Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
×

×
×
  • Create New...