Jump to content
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 4029 - 30June 2022 Posted By: Saleem Taibjee

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

"44F Punch biopsy right lower leg: 5 month history ?lipoma ?erythema nodosum"


  Report Record

User Feedback


Krishnakumar subramanian

Posted

tuberculoid  type-granulomatous inflammation in ADIPOSE TISSUE

is it anterior or posterior portion of leg

unilateral or bilateral

 

Share this comment


Link to comment
share_externally

Anil Patki

Posted

Lobular panniculitis with granulomatous inflammation and vasculitis suggest erythema induratum (nodular vasculitis). A search for latent/overt tuberculosis is warranted as is PCR for mycobacterial antigens. There are two types of erythema induratum - one associated with TB and the other is not.

Share this comment


Link to comment
share_externally

volha

Posted

Agree with above granulomatous inflammation and vasculitis (modular vasculitis)

Share this comment


Link to comment
share_externally

vincenzo

Posted

On 30/06/2022 at 07:04, Anil Patki said:

Lobular panniculitis with granulomatous inflammation and vasculitis suggest erythema induratum (nodular vasculitis). A search for latent/overt tuberculosis is warranted as is PCR for mycobacterial antigens. There are two types of erythema induratum - one associated with TB and the other is not.

Agree!!!

Share this comment


Link to comment
share_externally

Saleem Taibjee

Posted

I find panniculitis a challenging area.

On this particular recent case I received this very helpful expert opinion from Luis Requena, who is the authority on panniculitis.

"I agree with your diagnosis of a mostly lobular panniculitis. The lesion consists mostly of a granulomatous panniculitis, an evolved lesion in which a specific diagnosis cannot be rendered. It could be erythema induratum, but many evolved lobular panniculitis may also show this histopathologic pattern."

 

BW, Saleem

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...