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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 2932 - 01 October 2021 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F53. Pigmented lesion on thigh. 7 x 5mm getting darker and bigger. ?DN


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msofopoulos

Posted (edited)

Looks like Spitz. I think i see multiple Kamino bodies on pic 3 and 5. I also do not like the age

Edited by msofopoulos
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Reed's Nevus. Symmetrically growing and maturing. 

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Zuli Baharom

Posted

Appears symmetrical favours nevus i.e. Spitz nevus, however age is worrisome. 

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Dr. Richard Carr

Posted

Agree with Spitz naevus, nice Kamino bodies. Some Reed-like features (which I regard as a variant of Spitz). PRAME was done but I inadvertently filed the slides so not available for photography. It was negative. One does have to be careful with age but I've now reported many Spitz naevi in individuals >50 years. Generally we prefer all Spitz lesions to be excised fully as in this case. 

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