National Specialist Dermatopathology EQA Scheme

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Presentation transcript:

National Specialist Dermatopathology EQA Scheme Circulation K

Case 165 Female aged 7 Skin dorsum left foot

Most popular diagnosis: Cellular blue naevus/benign combined naevus

Case 166 Female aged 58. 30 year history of hyperkeratotic plaques on the scalp and face ? Darier's disease.

Most popular diagnosis: Darier’s disease

Case 167 Female aged 26. Blue naevus. Skin lesion right ear. Skin fragment 9 x 5 mm with a central dark lesion 5 x 5 mm. Some, but not all, lesional cells HMB45 positive.

Withdrawn from scoring

Case 168 Female aged 31. Four week history of red plaques on thighs, feels hot ? Chilblains. Works outside washing cars in jeans. Lesions appeared during cold weather & snow in Dec 2010. Immuno : ANA negative.

Most popular diagnosis: Perniosis / cold panniculitis

Case 169 Female aged 79. Psoriasiform rash on trunk and limbs.

Most popular diagnosis: Psoriasis

Case 170 Male aged 70. ? Bowen's disease. Specimen: Excision Immuno : Melan A (-), S100 (-), EMA (+), CK20 (-)

Most popular diagnosis: Paget’s disease

Case 171 Female aged 31. Mole lower back - increased in size over 2-6 months. Skin ellipse 23 x 13 x 5 mm. Surface bears a central variably pigmented lesion measuring 13 mm maximum with an irregular outline. Slightly raised one end

Most popular diagnosis Benign compound naevus +/- with low grade dysplasia

Case 172 Female aged 61. Raised papular plaque, left back ? G. Annulare Macro: 6mm punch biopsy

Most popular diagnosis: Granuloma annulare

Case 173 Female age 43. ?erythema nodosum, front of right leg. O/E raised red nodules over shins. HIV positive. TB not proved on lymph node culture. Previous biopsy showed similar features. T-spot test positive

Most popular diagnosis: Erythema nodosum

Case 174 Male aged 64 years. 8 mm warty lesion lateral aspect of right eyebrow of 10 years duration.

Most popular diagnosis: Syringocystadenoma papilliferum

The End! Thank you!