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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 Number : CASE 4608 - 17 March 2025 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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29M, Left zygoma- Biopsy 1 year history of discoid rash on face ( mum under rheumatology for SLE). Patients also has join aches and muscles weakness. ? Discoid lupus


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Dr. Shoba Ramesh

Posted

tumid lupus erythematosus

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vincenzo

Posted

Lupus is my spot diagnosis, but there is an onionskin fibroinflammatory infiltrate reminiscent of granuloma faciale. Waiting for the sentence...

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msofopoulos

Posted

Lupus can we see some PAS and cd123 action?

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Richard Logan

Posted

I think I am seeing rather more eosinophils than might be expected in DLE.  I too was wondering about granuloma faciale.  This wouldn't explain the joint aches and muscle weakness, however.

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