Code |
Diagnosis |
Comment |
Score |
anonymous |
Lepromatous leprosy (100%)
|
To confirm with Wade-fite stain. Grocott and PAS stains to rule out fungal infection.
|
100 |
anonymous |
infectious granulomatous inflammation
|
nil
|
70 |
anonymous |
Infection with pseudoepitheliomatous hyperplasia, favour lepromatous leprosy (100%).
|
Perform histochemical stain Wade-Fite to confirm presence of acid fast bacilli in the foamy macrophages in the dermis.
|
100 |
anonymous |
Lepromatous leprosy, with scarring and pseudoepitheliomatous hyperplasia, 100%.
|
Wade-Fite stain
|
100 |
anonymous |
Histiocytic inflammatory lesion. 100%. To look for infective agents such as leprosy, Mycobacterium avium intracellulare, fungi, Mycobacteria etc. by special stains like Wade-Fite, ZN, Grocott etc. and also culture and PCR for some microorganisms.
|
nil
|
100 |
anonymous |
Lepromatous leprosy
|
Confirming the diagnosis by highlighting Mycobacteria leprae (Wade-Fite positive; Ziehl-Neelsen negative). Correlate clinically and microbiologically.
|
100 |
anonymous |
Right heel skin lesion - Dermal inflammation with histiocytic reaction, suspect infection (?fungi, ?parasite) and marked epidermal hyperplasia 50%, Atypical squamous proliferation 30%, Verrucous carcinoma 20%
|
To do special stains
|
50 |
anonymous |
1) Histiocytic inflammatory reaction in dermis. Need to rule out infection - 90%
2) also need to rule out infiltrative malignancy eg desmoplastic melanoma and spindle cell carcinoma - 10%
|
Stains for leprosy, fungi, melanoma and carcinoma
|
100 |
anonymous |
Granulomatous inflammation 100%
|
Ziehl-Neelsen, Grocott and PASD to reveal any micro-organisms present.
|
90 |
anonymous |
Chronic inflammatory granulomatous process with presence of histiocytes containing bacillary bacteria that favoring 1) Mycobacterium avium intracellulare 2) Leprosy, lepromatous pole or lepromatous type. NO evidence of malignancy.
|
nil
|
100 |
anonymous |
Chronic inflammatory granulomatous process with presence of histiocytes containing bacillary bacteria that favoring 1) Mycobacterium avium intracellulare 2) Leprosy, lepromatous pole or lepromatous type. NO evidence of malignancy.
|
nil
|
100 |
anonymous |
SKIN lesion, right heel, excision - LEPROMATOUS LEPROSY
|
nil
|
100 |
anonymous |
Fibrohistiocytic inflammation with epidermal hyperplasia
|
Need to rule out infection including leprosy and atypical mycobacterium
|
100 |
anonymous |
lepromatous leprosy (100%)
|
nil
|
100 |
anonymous |
VERRUCOUS CARCINOMA, with underlying chronic inflammation and laden macrophages, need to exclude underlying specific infection with special stain. (100% probability)
|
nil
|
20 |
anonymous |
Lepromatous leprosy 100%
|
Has to be confirmed by Wide-Fite stain
|
100 |
anonymous |
Chronic infection suggestive of leprosy (90%), cannot exclude Penicillium marneffei (10%)
|
Order ZN, Wade-Fite, Grocott.
|
100 |