Code |
Diagnosis |
Comment |
Score |
anonymous |
Fungal infection and acantholytic dyskeratosis 100%
|
Advise PAS stain to demonstrates the morphology of the fungus
in stratum corneum. Differential diagnosis includes dermatophytosis
and Candidiasis. The acute onset of skin lesions in elderly
displaying acantholytic dyskeratosis suggests Grover's disease
(transient acantholytic dermatosis).
|
100 |
anonymous |
Fungal infection, 100%
|
To be confirmed with Grocott stain.
|
100 |
anonymous |
Superficial dermatophytosis, 100%
|
Special stains for fungus to confirm the diagnosis, and Clinical as well as immunofluorescence studies to rule out a blistering process.
|
100 |
anonymous |
SKIN : Superficial fungal infection (100%)
|
Special stains including periodic acid-Schiff stain with or without diastase pre-treatment and Grocott stain are necessary for confirmation. Fungal culture may be needed if necessary.
A small depression with basophilic granular material and neutrophils is noted at the skin surface. Deeper sectioning is advised to exclude other diabetic associated diseases like Kyrle's disease.
|
100 |
anonymous |
acute generalised exanthematous pustulosis (50%)
pustular psoriasiform dermatitis (50%)
|
A drug and clinical history should be elicited.
|
50 |
anonymous |
Superficial fungal infection, 100%
|
Demonstration of fungal organisms by PAS or Grocott stain.
|
100 |
anonymous |
Superficial perivascular dermatitis with parakeratosis. To exclude fungal infection by PASD & Grocott stains. 100%.
|
nil
|
100 |
anonymous |
Fungal hyphae noted at cornified layers suggestive of dermatophytosis. (100%)
|
Confirm by fungal stains (PAS, Grocott).
|
100 |
anonymous |
Suggestive of superficial fungal infection 100%
( e.g. Dermatophytosis, Candidiasis and Tinea versicolor )
|
Special stains ( PAS, Grocott ) to identify any fungal elements in the epidermis
|
100 |
anonymous |
Subcorneal pustular dermatosis (100%)
|
Culture to exclude fungal infection.
|
95 |
anonymous |
Subcorneal pustular dermatitis, consistent with fungal infection( i.e. Candida) 100%
|
* Fungal stains to confirm presence of fungal hyphae.
* Further sampling/ deeper sections to exclude reactive perforating collagenosis.
|
100 |
anonymous |
Subcorneal pustule, suggestive of dermatophytosis or candiasis. PAS stain is recommended. 100%
Suggestive of scleredema. 80%
|
nil
|
95 |
anonymous |
Intraepidermal bulla with Acantholysis, favour pemphigus vulgaris 100%
|
1. Direct immunofluorescence examination of specimens from perilesional skin for IgG staining in the epidermal intercellular space (around individual keratinocyte)
2. Bullous eruption associated with DM typically does not show acantholysis.
3. No dyskeratosis nor lichenoid changes (may suggest association with internal malignancy or other acantholytic dermatosis)
4. Exclude pemphigus-like lesion induced by drug.
|
50 |
anonymous |
Acute dermatitis, most likely infective (see comment)
|
There is a focus of suppuration. No bacteria or fungi are seen.
|
70 |
anonymous |
Dermatophytosis (tinea infection) Probability : 100%
|
nil
|
100 |
anonymous |
Dermatophyte infection (100%)
|
Various entities under acantholytic dyskeratosis have to be excluded by performing immunofluorescence and ultrastructural studies as well as clinical correlation.
|
100 |
anonymous |
Skin - Fungal infection (100%)
|
nil
|
100 |