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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 4139 - 01 Dec 2022 Posted By: Saleem Taibjee

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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64, M papular lesions dorsum left hand.


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Multinucleate cell angiohistiocytoma, agree!  In diff : acquired elastotic hemangioma, but this is a solitary lesion and without any multinucleate cells. 

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Meenakshi Batrani

Posted

On 08/12/2022 at 22:47, Anil Patki said:

Multinucleate cell angiohistiocytoma

Agree

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Saleem Taibjee

Posted

What can I say! Well done. You guys made easy work of a difficult case. Yes, I too felt this best fits for multinucleate cell angiohistiocytoma.

I think I have only reported this 2-3 times. I was quite excited coming across this recent case. 

BW
Saleem

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Richard Logan

Posted

For comparison, there are three previous examples of this entity on Spot Diagnosis:  915 (20th Dec 2013;); 1527 (2nd may 2016); 1614 (1st Sept 2016).

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@Richard LoganCould you please share how you know about the previous cases? Does Dermpathpro have a search function that allows you to look up previous cases? Thank you!

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Multinucleate angiohistiocytoma. stellate cells in the characteristic myxoid stroma and vessel density 

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