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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 2973 - 29 November 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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F, 72 The patient gave a 30-year history of Sheehan's syndrome. She has been receiving hydrocortisone and levothyroxine ever since this diagnosis. She presented with a long history of diffuse itchy erythematous scaly rash with recent progression to almost erythroderma with accentuation in the groin area. Areas of normal skin were seen.


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AGEP? Pustular psoriasis? Doesn't look like subcorneal pustular dermatosis. Also some irregularities to the keratin that I can't for sure exclude fungi. Needs PAS-D stain as well.

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Long standing rash with accentuation in the groins and these neutrophils suggest extensive dermatophytosis. Psoriatic erythroderma is another possibility.

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Krishnakumar subramanian

Posted

vertically oriented filaments-candidiasis

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There are septate hyphae which show branching suggesting that this is a dermatophyte and not a yeast.

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Dr. Mona Abdel-Halim

Posted

This was disseminated dermatophytosis. Groin rash was typical of tinea cruris. 

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