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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 4187 - 07 February 2023 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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94 year old female with new rash.
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Go to records February 2023

User Feedback


Anil Patki

Anil Patki 4

Posted

An acute process with neutrophils in the epidermis. Impetigo, acute generalized erythematous pustulosis, or neutrophilic drug reaction are some possibilities. Clinical picture is relevant for the diagnosis.

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Meenakshi Batrani

Meenakshi Batrani 0

Posted

Will do a PAS for Tinea and DIF for IgA pemphigus. AGEP is a possibility. 

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Uma Sundram

Uma Sundram 169

Posted

Acute generalized exanthematous pustulosis. Pas and DIF are both negative.

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Atreyo Chakraborty

Atreyo Chakraborty 0

Posted

I think SCPD  type of IgA Pemphigus, SCPD(Subcorneal Pustular dermatosis) and Tinea are good differentials. The pattern in Neutrophilic Spongiosis. I do NOT think its impetigo since no bacterial colonies are seen here....

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