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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 2859 - 22 June 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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77 year old male with morbilliform eruption.


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Herpes-like, pustular eruption. I don’t know what it is. ?Herpes ?Morbilliform rash after Pfizer-vaccine

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Eman El-Nabarawy

Posted

? Disseminated herps zoster or herps simplex..

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Meenakshi Batrani

Posted

Not sure if changes are true herpes or pseudoherpetic changes which are not uncommon in vesiculo-pustular lesions. I would add d/d of drug reaction and IgA pemphigus. 

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Krishnakumar subramanian

Posted

epidermal focal acantholytic with neutrophils some suspicious large cells seen ? herpetic

IgA pemphigus-any histology of medications

atypical varicella

 

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Krishnakumar subramanian

Posted

This also Acute generalized exanthematous pustulosis since it is a rash and neutrophils in epidermis

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Uma Sundram

Posted

Acute generalized exanthematous pustulosis with acantholysis. DIF negative and herpes not favored clinically.

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AGEP, spongiform pustule and dermal eosinophils 

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