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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 3073 - 18 April 2022 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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M 15 Progressive development of small papules and skin tag-like lesions over the face, neck, trunk and extremities, some are centered around a hair follicle.

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Anil Patki


Fibrofolliculoma/trichdiscomas and angiofibromas (adenoma sebaceum) are the two differentials. The clue that the lesions are centered around hair follicles suggests the former.

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Looks like Fibrofolliculoma/Trichodiscoma. If multiple lesions one could suggest Birt-Hogg-Dubé syndrome (and check kidneys&lung). Should we always do PAS stain?

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