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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 2823- 3 May 2021 Posted By: Dr. Mona Abdel-Halim

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Multiple necrotizing plaques and ulcers with black eschars over both ears, elbows, dorsa of hands, buttocks, knees, and legs. Lesions were progressively developing over the last 6 months. History taking revealed also marked weight loss, bony aches, and arthralgia.


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vincenzo

Posted

There is a cryoglobulin intravascular precipitation, but a vasculitic reaction ion also, if I’m not wrong...so this could be a cryoglobulinemia type II/III. 

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Krishnakumar subramanian

Posted

agree with-Thrombotic vasculopathy due to cryoglobulins, 

since ears are also involved can we consider cocaine vasculopathy also

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Eman El-Nabarawy

Posted

Crystalglobulinemia. ? Multiple myeloma.. what about kidney condition?

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volha

Posted

vaso-occlusive process. possible cryoglobulinemia. clinical symptoms need screening for auto immune process.

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Dr. Mona Abdel-Halim

Posted

This was diagnosed as crystalglobulinemia. It was the skin condition that pointed to an underlying multiple myleoma which was confirmed by lab work up and bone marrow biopsy.

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Yousra

Posted

Great case, thanks Dr Mona 

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