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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 4027 - 28 June 2022 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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65 year old female with rash on face.


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Krishnakumar subramanian

Posted

granulomatous inflammation with dense lymphocytes and numerous inclusions seen

could be LD bodies but vacuolations crypto to be ruled out

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Difficult. Leishmaniasis? Many plasma cells...Sarcoidosis?

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Meenakshi Batrani

Posted

To me look like LD bodies

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Eman El-Nabarawy

Posted

The bodies are large for LD, favor crypto...

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Uma Sundram

Posted

Fungal work up negative as were cultures of atypical mycobacterial and bacterial organisms. No suitable history for leishmania and no organisms detected by Giemsa. As the infiltrate was perifollicular we favored an unusual granulomatous rosacea. Caseating sarcoid also a possibility but favored less by clinician.

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Krishnakumar subramanian

Posted

But how to account for the inclusions , what they are

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Sisir Das

Posted

I would also consider BT Hansen's Disease.

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