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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 2860 - 23 June 2021 Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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73-year-old female with a upper lip lesion. (Slides courtesy of Dr. Sarah Al-Awami.)


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daniellindsay

Posted

This looks infective to me. I would consider Botryomycosis . 

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Krishnakumar subramanian

Posted

neutrophilic micro abscess with bacterial clumps-Infective etiology

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Splendore Hoeppli phenomenon. No actinomycosis...I don’t know. 

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Meenakshi Batrani

Posted

21 hours ago, daniellindsay said:

This looks infective to me. I would consider Botryomycosis . 

Agree with Botryomycosis

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Krishnakumar subramanian

Posted

classical botryomycosis with large basophilic clumps of bacteria in eosinophilic material.  did the patient have any immune suppression

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