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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 2829- 11 May 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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65 year old female with left foot lesion.


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Mohamed khaled

Posted

Majocchi granuloma

Is there history of hair removal?

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Haidi Hadi

Posted

2 hours ago, Mohamed khaled said:

Majocchi granuloma

Is there history of hair removal?

Can you outline the features please?

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Mohamed khaled

Posted (edited)

13 hours ago, Haidi Hadi said:

Can you outline the features please?

Deep-seated ruptured hair follicle, remnants of hair shaft containing hyphae and spores, associated with surrounding septic granuloma.

Edited by Mohamed khaled

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Uma Sundram

Posted

Majocchi's granuloma. Was not able to elicit this history. Good idea to look for deep fungal in unlikely cases.

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Mohamed khaled

Posted

5 hours ago, Uma Sundram said:

Majocchi's granuloma. Was not able to elicit this history. Good idea to look for deep fungal in unlikely cases.

Nice case. Thanks for sharing.

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Majocchi granuloma, hyphae within the hair follicle, which ruptured, resulting in massive dermal inflammatory reaction with neutrophils 

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