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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 4332 - 29 August 2023 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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76 year old male with absolute lymphocytosis and recent biopsy of an keratotic lesion. Rule out SCC.

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Eman El-Nabarawy


On 21/11/2023 at 00:17, vincenzo said:

CLL ( cutaneous involvement ). 

Agree..May be lichenoid keratosis..

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Uma Sundram


CLL with cutaneous involvement. CD23 highlights a subset of B cells; cyclin D1 is negative.

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