national specialist dermatopathology eqa scheme circulation k
TRANSCRIPT
National Specialist National Specialist Dermatopathology EQA Dermatopathology EQA
SchemeScheme
Circulation KCirculation K
Case 165Case 165
Female aged 7Female aged 7
Skin dorsum left footSkin dorsum left foot
Most popular diagnosis: Most popular diagnosis:
Cellular blue naevus/benign combined Cellular blue naevus/benign combined naevusnaevus
Case 166Case 166
Female aged 58. Female aged 58.
30 year history of hyperkeratotic 30 year history of hyperkeratotic plaques on the scalp and face ? plaques on the scalp and face ? Darier's disease.Darier's disease.
Most popular diagnosis:Most popular diagnosis:
Darier’s diseaseDarier’s disease
Case 167Case 167
Female aged 26. Blue naevus.Female aged 26. Blue naevus. Skin lesion right ear.Skin lesion right ear.
Skin fragment 9 x 5 mm with a Skin fragment 9 x 5 mm with a central dark lesion 5 x 5 mm.central dark lesion 5 x 5 mm.
Some, but not all, lesional cells Some, but not all, lesional cells HMB45 positive.HMB45 positive.
Withdrawn from scoringWithdrawn from scoring
Case 168Case 168
Female aged 31. Female aged 31. Four week history of red plaques on Four week history of red plaques on
thighs, feels hot ? Chilblains. Works thighs, feels hot ? Chilblains. Works outside washing cars in jeans.outside washing cars in jeans.
Lesions appeared during cold weather & Lesions appeared during cold weather & snow in Dec 2010.snow in Dec 2010.
Immuno : ANA negative.Immuno : ANA negative.
Most popular diagnosis:Most popular diagnosis:
Perniosis / cold panniculitisPerniosis / cold panniculitis
Case 169Case 169
Female aged 79. Female aged 79.
Psoriasiform rash on trunk and limbs.Psoriasiform rash on trunk and limbs.
Most popular diagnosis:Most popular diagnosis:
PsoriasisPsoriasis
Case 170Case 170
Male aged 70. Male aged 70.
? Bowen's disease.? Bowen's disease.
Specimen: ExcisionSpecimen: Excision
Immuno : Melan A (-), S100 (-), EMA (+), CK20 (-)Immuno : Melan A (-), S100 (-), EMA (+), CK20 (-)
Most popular diagnosis:Most popular diagnosis:
Paget’s diseasePaget’s disease
Case 171Case 171
Female aged 31. Female aged 31.
Mole lower back - increased in size over 2-Mole lower back - increased in size over 2-6 months.6 months.
Skin ellipse 23 x 13 x 5 mm. Skin ellipse 23 x 13 x 5 mm. Surface Surface bears a central variably pigmented lesion bears a central variably pigmented lesion measuring 13 mm maximum with an measuring 13 mm maximum with an irregular outline. Slightly raised one end irregular outline. Slightly raised one end
Most popular diagnosisMost popular diagnosis
Benign compound naevus +/- with low Benign compound naevus +/- with low grade dysplasiagrade dysplasia
Case 172Case 172
Female aged 61. Female aged 61.
Raised papular plaque, left backRaised papular plaque, left back ? G. Annulare? G. Annulare
Macro: 6mm punch biopsyMacro: 6mm punch biopsy
Most popular diagnosis:Most popular diagnosis:
Granuloma annulareGranuloma annulare
Case 173Case 173
Female age 43. Female age 43. ?erythema nodosum, front of right leg. ?erythema nodosum, front of right leg. O/E raised red nodules over shins. O/E raised red nodules over shins. HIV positive. TB not proved on lymph HIV positive. TB not proved on lymph
node culture. node culture. Previous biopsy showed similar Previous biopsy showed similar
features. features. T-spot test positiveT-spot test positive
Most popular diagnosis:Most popular diagnosis:
Erythema nodosumErythema nodosum
Case 174Case 174
Male aged 64 years. Male aged 64 years.
8 mm warty lesion lateral aspect of 8 mm warty lesion lateral aspect of
right eyebrow of 10 years duration.right eyebrow of 10 years duration.
Most popular diagnosis:Most popular diagnosis:
Syringocystadenoma papilliferumSyringocystadenoma papilliferum
The End!The End!
Thank you!Thank you!