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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 4096 - 03 Oct 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, SLE patient with rash on fingers and toes
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Go to records October 2022

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Meenakshi Batrani

Meenakshi Batrani 0

Posted

10 hours ago, Shawn said:

Chilblain lupus

Agree

 

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vincenzo

Chilblain lupus is in pole position for CPC purpose...but I see vascular changes and perivascular infiltrate ( no perieccrine ). I see something reminiscent of Epithelioid Hemangioma. 

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Eman El-Nabarawy

Eman El-Nabarawy 69

Posted (edited)

Missing the characteristic papillary dermal edema of chilblains! Thought of interstitial granulomatous dermatitis (palisaded neutrophilic and granulomatous dermatitis)..

Edited by Eman El-Nabarawy

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Yes, CPC was consistent with chilblain lupus

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Richard Logan

Richard Logan 0

Posted

17 hours ago, Eman El-Nabarawy said:

Missing the characteristic papillary dermal edema of chilblains! Thought of interstitial granulomatous dermatitis (palisaded neutrophilic and granulomatous dermatitis)..

I agree that the papillary oedema normally associated with chilblains is not present, but the fingers and toes would be an odd place to develop interstitial granulomatous dermatitis.

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Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

1 hour ago, Richard Logan said:

I agree that the papillary oedema normally associated with chilblains is not present, but the fingers and toes would be an odd place to develop interstitial granulomatous dermatitis.

Agree with u..Yet their involvment is reported!!

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