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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 4104 - 13 October 2022 Posted By: Saleem Taibjee

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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41F, punch biopsy posterior neck – pigmented patches face, neck

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Same suggestion...overall on low magnification. 

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Saleem Taibjee


Yes, this is a recent case of ochronosis which is not so commonly biopsied in my experience.

I wanted to include this case to highlight that the swollen collagen bundles are a good clue to the diagnosis, even before the yellow-brown deposits ('banana bodies') are so readily apparent.

BW, Saleem

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