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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 2865 - 30 June 2021 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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49M , 3mm punch biopsy right upper back - BCC


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Krishnakumar subramanian

Posted

granulomatous inflammation in dermis, 

rule out infections and with other lab data rule out sarcoidosis

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daniellindsay

Posted

Non-necrotising granulomatous inflammation, I think there is possibly a Schaumann body. Favour sarcoidosis on morphology but need to exclude infective causes/foreign body impaction. 

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7 hours ago, daniellindsay said:

Non-necrotising granulomatous inflammation, I think there is possibly a Schaumann body. Favour sarcoidosis on morphology but need to exclude infective causes/foreign body impaction. 

I agree

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Meenakshi Batrani

Posted

Agree. Favour sarcoidosis but need to exclude infection / foreign body

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Eman El-Nabarawy

Posted

Sarcoidosis after exclusion of infection/foreign body reaction.

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vincenzo

Posted

First thought is sarcoidosis for me. 

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Classic sarcoidal granuloma, well defined naked granuloma occupying the upper and mid dermis,  with many multinucleated giant cells.

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Admin_Dermpath

Posted

Dr Chaudhry: Thank you for your comments. Diagnosis is Sarcoidosis.

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