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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 4614 - 29 March 2025 Posted By: Admin_Dermpath

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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36-year-old woman with a patch on the back.
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Go to records March 2025

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Dr. Shoba Ramesh

Dr. Shoba Ramesh 0

Posted

morphea 

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Richard Logan

Richard Logan 0

Posted

Yes, I agree.  Morphoea.

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Meenakshi Batrani

Meenakshi Batrani 0

Posted

For the features like flattened epidermis with hyperkeratosis, follicular plugging and hylainization+edema in papillary dermis, I would go more with extragenital lichen sclerosus. Although, morphea can have overlying lichen sclerosus like changes or there can be morphea-LS overlap, in this case due to biopsy from back which anyways has deep dense reticular dermis, can't say if it is only LS or LS-morphea overlap. 

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vincenzo

vincenzo 4

Posted

On 01/04/2025 at 12:41, Meenakshi Batrani said:

For the features like flattened epidermis with hyperkeratosis, follicular plugging and hylainization+edema in papillary dermis, I would go more with extragenital lichen sclerosus. Although, morphea can have overlying lichen sclerosus like changes or there can be morphea-LS overlap, in this case due to biopsy from back which anyways has deep dense reticular dermis, can't say if it is only LS or LS-morphea overlap. 

Agree. Favour LSA. 

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smbaksh@psppath.com

smbaksh@psppath.com 0

Posted

Yes, it is Morphea.

 

Thank you.

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