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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 4490 - 05 April 2024 Posted By: Admin_Dermpath

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
Biopsy from a firm nodule on the back of a 3 week-old baby boy, present from day 3 after birth
Contributor: Dr Ravi Suchak
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Krishnakumar subramanian

Krishnakumar subramanian 0

Posted

Subcutaneous fat necrosis (SCFN) of the newborn 

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vincenzo

vincenzo 4

Posted

6 hours ago, Krishnakumar subramanian said:

Subcutaneous fat necrosis (SCFN) of the newborn 

Yes again. 

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Eman El-Nabarawy

Eman El-Nabarawy 69

Posted

Agree.

 

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Jane Wilkinson

Jane Wilkinson 0

Posted

I agree with Subcutaneous fat necrosis (SCFN) of the newborn.

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Adam Ali

Adam Ali 0

Posted

Foreign Body Panniculitis

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Summaya Ahmed

Summaya Ahmed 0

Posted

Sclerema Neonatorum

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Ernest Foster

Ernest Foster 0

Posted

Subcutaneous fat necrosis (SCFN) of the newborn

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Joanne Ellis

Joanne Ellis 0

Posted

Post-steroid Panniculitis

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Meenakshi Batrani

Meenakshi Batrani 0

Posted

Yes, agree with subcutaneous fat necrosis of newborn.

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Admin_Dermpath

Admin_Dermpath 1,211

Posted

Thank you for your comments. 

The final diagnosis is: Subcutaneous Fat Necrosis of the Newborn

The differential diagnoses to consider are:

Sclerema Neonatorum
Post-steroid Panniculitis
Foreign Body Panniculitis
Infective Panniculitis
 

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Atreyo Chakraborty

Atreyo Chakraborty 0

Posted

The clinchng clue here is the presence of Needle shaped crystals inside those fat lobules. Note that SCFN is a clinicopathological diagnosis since the same histopathological  picture is also seen in1. SCFN

2. Sclerema Neonatorum (Now a controversial entity)

3. Post Steroid Panniculitis

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