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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 2910 - 01 September 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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70 year old male with recurrent right groin soft tissue lesion.


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vincenzo

Posted

Weird location for erythema nodosum. 

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John Zhang

Posted

1 hour ago, vincenzo said:

Weird location for erythema nodosum. 

Looks like erythema nodosum.

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Richard Logan

Posted

20 hours ago, vincenzo said:

Weird location for erythema nodosum. 

Yes.  There is also intralobular as well as septal panniculitis.  For that reason I suspect it is not erythema nodosum.  How about alpha-1 anti-trypsin deficiency, which is more common around the pelvic area?

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Krishnakumar subramanian

Posted

granulomatous panniculitis , can we investigate for Tb/inflammatory bowel diseases

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Eman El-Nabarawy

Posted

Septal panniculitis with granulomatous perivasculitis, in the groin think of Crohn's disease.

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vincenzo

Posted

My impression is there are Miescher granulomas here. 

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Uma Sundram

Posted

We also thought mieschers granulomata, although a weird location, and suggested EN. Alpha1 antitrypsin work up is normal. TB tests are negative and no history of IBD.

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