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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 3033 - 21 February 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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29F,Purpuric lesions, necrotizing ulcers and scars on both lower legs of a few months' duration. Lesions are very painful.
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Richard Logan

Richard Logan 0

Posted

Thrombotic vasculopathy. 

The basement membrane looks rather prominent so i wonder if this might a manifestation of lupus such as anti-phospholipid syndrome.

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Shawn

Agree with thrombotic vasculopathy. Would be interesting to know ANCA/ANA status. Levamisole induced vasculopathy syndrome could be another consideration.

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Anil Patki

Livedoid vasculopathy, atrophie blanche is the end result.

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Krishnakumar subramanian

Krishnakumar subramanian 0

Posted

agree with livedoid vasculopathy resulting in atrophic blanche

but the cause for this condition needs to be worked

ANA/tests for sickle cell anemia/ ANCA results can give us some information

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Yes, this was diagnosed as lividoid vasculopathy.

 

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