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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 3054 - 22 March 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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71 year old female with lesion on left fourth toe.


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Meenakshi Batrani

Posted

Overall silhouette resembles acquired digital fibrokeratoma. But prominent vasculature, mucin deposition and some stellate/spindle cell proliferation, makes me think of superficial acral fibromyxoma. 

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6 hours ago, Meenakshi Batrani said:

Overall silhouette resembles acquired digital fibrokeratoma. But prominent vasculature, mucin deposition and some stellate/spindle cell proliferation, makes me think of superficial acral fibromyxoma. 

Good call, agree

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For me it’s a multinucleate cell angiohistiocytoma. 

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Uma Sundram

Posted

Cellular digital fibrous. The lesion is less myxoid than SAF. It is CD34+ which excludes the other entities in the morphological differential diagnosis.

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msofopoulos

Posted

Acquired digital fibrokeratoma for me. Was it periungual?

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Uma Sundram

Posted

My apologies, it was not peri ungual. 

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