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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 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

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

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Meenakshi Batrani

Posted

Livedoid vasculopathy

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Anil Patki

Posted

Livedoid vasculopathy, atrophie blanche is the end result.

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Krishnakumar subramanian

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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vincenzo

Posted

Thrombotic vasculopathy. 

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Dr. Mona Abdel-Halim

Posted

Yes, this was diagnosed as lividoid vasculopathy.

 

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