In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

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Case Number : Case 1879 - 10 Aug - Dr Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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M65. Scrotal papilloma?

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Iskander H. Chaudhry

Posted · Report

Dear All 

I have uploaded the congo red on my case:

 

 

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Raul Perret

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28 minutes ago, dermpath1 said:

verruciform xanthoma

Agree, did you find candida here Richard?

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Dr. Richard Carr

Posted · Report

Yes well done. I did look for fungi on the H&E and failing to find them and in view of the typical H&E features of verruciform xanthoma (warty lesion with rather distinctive parakeratosis and neutrophil exocytosis with subtle xanthoma cells in the corium) I did not do a PAS.

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