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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2965 - 17 November 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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59 year-old female with mid frontal scalp biopsy of rash

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Lupus tumidus. There's some spillover of the infiltrate in the panniculus but I don't think that it's significant enough to call it lupus profundus. Absence of interface change,  perifollicular lymphocytic infiltrate and dermal mucin are all suppotive to the diagnosis. 

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Meenakshi Batrani


Significant changes in dermis and in panniculus.- Would prefer calling it lupus profundus

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Lupus profundus, with panniculitis-lupus, for me; there is the intralobular fatty tissue jalinization. 

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