Jump to content
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 4297- 11 July 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 :
   (0 reviews)

68 year old male with pancytopenia, papulosquamous rash, chest, neck, bilateral jawline. Biopsy is from chest.

  Report Record

User Feedback

Opportunistic infection? The basophilic granules may represent bacterial colonies and there is some surrounding inflammatory response although this is probably a limited host response due to the pancytopaenia.

Share this comment

Link to comment

Uma Sundram


Vasculopathic process. We also thought there was a concurrent vasculitis. The third picture was the best representation we had of leukocytoclasis. Due to his pancytopenia, he had some significant coagulation issues.

Share this comment

Link to comment

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Create New...