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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 4525 - 24 May 2024 Posted By: Admin_Dermpath

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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A 26 year-old male presented with a one-year history of a dozen papules with atrophic white centre and thin erythematous and telangiectatic rim, scattered over the trunk, upper and lower limbs, sparing the face. Otherwise well.
Contributor: Dr. José Carlos Cardoso


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Anil Patki

Posted

Hyperkeratosis, epidermal atrophy, homogenization of upper dermis and thrombotic vasculopathy are the salient features. Atrophic papulosis (Degos's syndrome) is the condition that comes to my mind. Clinical features are supportive of this diagnosis.

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msofopoulos

Posted

I agree looks like malignant  Malignant? atrophic papulosis (Köhlmeier-Degos disease)

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Eman El-Nabarawy

Posted

Atrophic papulosis (Degos's disease).

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vincenzo

Posted

On 31/05/2024 at 14:43, Anil Patki said:

Hyperkeratosis, epidermal atrophy, homogenization of upper dermis and thrombotic vasculopathy are the salient features. Atrophic papulosis (Degos's syndrome) is the condition that comes to my mind. Clinical features are supportive of this diagnosis.

agree with Anil. 

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