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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 2754 - 26 January 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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88 year old female from nursing home with new onset of rash on trunk and upper arms, with bullae on left hand.

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Richard Logan


Bullous pemphigoid.

Nice focus of eosinophilic spongiosis.  I think the eosinophil-dominated infiltrate is rather too dermally situated to suggest scabies.  However, step sectioning and immunofluorescence are indicated.

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Agree. Linear junctional eosinophilic infiltrate is in keeping with BP.  

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