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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 2928 - 27 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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"F, 8 months ,Pneumonia, Kwashiorkor Bad general condition
Progressively developing cutaneous and subcutaneous nodules "


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Lobular panniculitis with a lot many neutrophils and acid fast bacilli in the cyst- like spaces created by damage to the adipocytes are the salient features. With the history of kwashiorkor which causes immune deficiency, it's infective panniculitis due to atypical mycobacteria in the setting of immunodeficiency.

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Acute exacerbation of Lepra? I’m not enough expert in this pathology. 

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23 hours ago, vincenzo said:

Acute exacerbation of Lepra? I’m not enough expert in this pathology. 

Since the incubation period of leprosy is 2 to 10 yrs, it's hardly ever seen in infancy. 

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On 29/09/2021 at 16:36, Anil Patki said:

Since the incubation period of leprosy is 2 to 10 yrs, it's hardly ever seen in infancy. 

Thanks, Anil. 

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Dr. Mona Abdel-Halim

Posted

Thank you everybody!
This was confirmed by culture to be disseminated BCG infection. Culture revealed mycobacterium bovis. 

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