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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 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.
Submitted Date :
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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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Go to records September 2021

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Anil Patki

Thrombotic vasculopathy. ? Antiphopholipid antibody syndrome ? purpura fulminans.

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Saman Fatah

Saman Fatah 10

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

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

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volha

Thrombotic vasculopathy. good history taking, bloods and CPC.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

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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