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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 2923 - 20 September 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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F22, Purpuric plaques, some with areas of impending necrosis, over both lower limbs of 1 week duration.


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Richard Logan

Posted

Thrombotic vasculopathy

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Anil Patki

Posted

Thrombotic vasculopathy. ? Antiphopholipid antibody syndrome ? purpura fulminans.

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Saman Fatah

Posted

Agree with thrombotic vasculopathy histologically, there are a whole host of conditions leading to this pattern. It is acute if the stated duration is correct and given her age APS or sepsis with purpura fulminans are possible DDx but needs integration of CPC data to hopefully finalise the diagnosis.

 

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vincenzo

Posted

Agree with thrombotic vasculopathy, acute stage. ? Poorly controlled Ulcerative Colitis; ? Covid-19 ? Drugs/status post-vax covid19. 

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Thrombotic vasculopathy. good history taking, bloods and CPC.

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Dr. Mona Abdel-Halim

Posted

Yes! this was thrombotic vasculopathy. Onset was preceded by fever and COVID-19 infection was suspected. Unfortunately patient was lost to follow up.

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