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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 2998 - 3 January 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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F, 45 with systemic sclerosis.Rash on the face


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Krishnakumar subramanian

Posted

telangiectasia.-

CREST variant of scleroderma

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Richard Logan

Posted

Agree with telangiectasia. 

However, not possible to say whether it is part of the CREST syndrome without knowing the rest of the clinical details, as of course facial telangiectasiae are common to both systemic sclerosis and the CREST variant.

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Anil Patki

Posted

Could be topical corticosteroid-induced telangiectasia as well!

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vincenzo

Posted

Why not a multiple lesion presentation of hobnail hemangioma?

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Meenakshi Batrani

Posted

Histologically there is telangiectasia. Needs CPC as to what type of facial rash. Otherwise telangiectasia especially on face and hands are common in systemic sclerosis.

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Richard Logan

Posted

On 05/01/2022 at 14:58, Anil Patki said:

Could be topical corticosteroid-induced telangiectasia as well!

I think the size of the dilated vessels is more in keeping with disease-associated telangiectasia than steroid-induced.

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Dr. Mona Abdel-Halim

Posted

Thank you all.

By clinicopathological correlation, this was diagnosed as matted telangiectasia of systemic sclerosis. 

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