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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 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.
Submitted Date :
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70 year old male with recurrent right groin soft tissue lesion.
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Go to records September 2021

User Feedback


John Zhang
1 hour ago, vincenzo said:

Weird location for erythema nodosum. 

Looks like erythema nodosum.

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Richard Logan

Richard Logan 0

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

Krishnakumar subramanian 0

Posted

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

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Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

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

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vincenzo

My impression is there are Miescher granulomas here. 

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Uma Sundram

Uma Sundram 169

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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