Case Number : Case 2926 - 23 September 2021 Posted By: Iskander H. Chaudhry

Congratulations to Dermpathpro team for this new feature of adding the digital slide itself to spot diagnosis section. 

Florid lichenoid interface dermatitis and some changes of collagen fibres in papillary dermis. I wondered about a probable early extra-genital LS confined to a vulnerable site such as radiation, CPC is essential to clarify if this fits clinically beside a simple examination of genital area for signs of LS.  

5 hours ago, Saman Fatah said:

Congratulations to Dermpathpro team for this new feature of adding the digital slide itself to spot diagnosis section. 

Florid lichenoid interface dermatitis and some changes of collagen fibres in papillary dermis. I wondered about a probable early extra-genital LS confined to a vulnerable site such as radiation, CPC is essential to clarify if this fits clinically beside a simple examination of genital area for signs of LS.  

Saman, can you remind me how to open and manipulate the slide digitally?  Thanks.

Hi Richard, You can click over the second slide, over the empty space. 

For me it could be a Lichen Planus, atrophic variant. 

Richard, apologies for a late response as just seen your response. It depends which device you are using to access it; PC is better as explained below.

For PC click on Dermpathpro spot diagnosis logo slide on the right side of the slide shown then that will open a separate window (digital pathology) were you will see the slide overlapped by a sign of digital slides, click on the down word triangular arrow that will get rid of the overlap to see the actual slide. Next stage up in the tool bar on the same screen next to 0 there is a double arrow click on this to orientate the slide followed by a little bit of play with the other functions at the tool bar to know what they do.

On ipad, you do the initial step but afterwards it does not provide you with the tool bar you just get rid of the overlap (if any) and magnify the slide like any other image and could not see the option of rotating the slide on there.

Hope above helps, if other has better ideas for tablet devices please share.

On 24/09/2021 at 20:32, Saman Fatah said:

Richard, apologies for a late response as just seen your response. It depends which device you are using to access it; PC is better as explained below.

For PC click on Dermpathpro spot diagnosis logo slide on the right side of the slide shown then that will open a separate window (digital pathology) were you will see the slide overlapped by a sign of digital slides, click on the down word triangular arrow that will get rid of the overlap to see the actual slide. Next stage up in the tool bar on the same screen next to 0 there is a double arrow click on this to orientate the slide followed by a little bit of play with the other functions at the tool bar to know what they do.

On ipad, you do the initial step but afterwards it does not provide you with the tool bar you just get rid of the overlap (if any) and magnify the slide like any other image and could not see the option of rotating the slide on there.

Hope above helps, if other has better ideas for tablet devices please share.

 

 

 

Thank you Saman.  I will ask Iskander to provide simple instruction for any further digital cases to help the technically illiterate such as me.

I think this might be CTCL (MF).  Breast is a common site of course.

Thanks to the DermpathPRO administrative staff for amending the format to include the microscope icon. No excuses now for being unable to open the digital slides!

Thank you for your comments. This is skin with basket-weave keratin, epidermal atrophy, and intense lichenoid dermatitis. Moderate chronic inflammation is seen in the superficial dermis. 

The features are those of a lichenoid reaction pattern in keeping with radiation dermatitis - there was a notable past history !