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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 4081 - 12 September 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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Female 33, Papules on the face (forehead, cheeks, nose) of 3 years duration


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Anil Patki

Posted

The pink, homogeneous material in the dermis could be amyloid deposited in the setting of primary systemic amyloidosis. Lipoid proteinosis is a differential.

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31 minutes ago, Anil Patki said:

The pink, homogeneous material in the dermis could be amyloid deposited in the setting of primary systemic amyloidosis. Lipoid proteinosis is a differential.

Agree, though lipoid proteinosis usually has peri-vascular/peri-eccrine deposits, which is not seen here.

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Meenakshi Batrani

Posted (edited)

Pink deposits- could be amyloid or colloid milium 

Edited by Meenakshi Batrani

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Dr. Mona Abdel-Halim

Posted

Clinicopathological correlation was consistent with colloid milium

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Eman El-Nabarawy

Posted

Yes..my impression was colloid milium too..

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