NSDEQAReviewMeetingSpring2010-NSD)EQA.ppt

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Most Popular Diagnosis: Metastatic Renal Ca Case 106 Male Age 65 Three month history of itchy erythematous/ violaceous plaques on lower legs, thighs and buttocks. Skin punch biopsy right thigh Most Popular Diagnosis: PPD/ Capillaritis Case 107 Male Age 57 Diabetic. Lung fibrosis, on Azathioprine and steroids. Multiple small pustules. Specimen: Punch biopsy right side of natal cleft. Most Popular Diagnosis: Herpes Case 108 Male Age 68 Rash abdomen and back, patient on Amlodipine ?drug induced lichen planus. 4 mm punch left abdomen. All other investigations negative. Most Popular Diagnosis: Grovers Case 109 Male Age 43 Asymptomatic petechiae both lower legs. Cayenne pepper appearance. Punch biopsy of skin from left lower leg. Most Popular Diagnosis: PPD * * * * * * * * * * * * * Circulation G Case 100 Female Age 39. Bilateral lesions on feet Most popular Diagnosis: 1 Erythema Elevatum Diutinum Case 101 Male Age 66 Multiple warts. Lesion on chest Papillomatous fleshy lesion 1.7 x 1 x 1 cm Most popular diagnosis: Sebaceous adenoma (+/- cystic) Case 102 Male Age 28 Nodule deep to skin with black superficial elements. ? Epidermoid cyst with blood within it. Back Most Popular Diagnosis: Aneurysmal Fibrous Histiocytoma Case 103 Male Age 54 Three year history of enlarging flesh coloured nodule on vertex of scalp. Most Popular Diagnosis: Proliferating Trichilemmal Cyst Case 104 Female Age75 Known renovascular disease. Known atherosclerotic disease. Livedo reticularis sole of foot ? cholesterol embol Most Popular Diagnosis: Cholesterol Emboli Case 105 Clinical: Male Age 78 Lesion right side of neck ? amelanotic melanoma ?Merkel ? angioma ? other * * * * * * * * * * * * * * * *