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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 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

Posted

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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vincenzo

Posted

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

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Carmen Lisievici

Posted

Agree with bullous pemphigoid.

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Uma Sundram

Posted

Bullous Pemphigoid. DIF is positive.

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