You are here

Article Text

Article menu
Download PDFPDF
Dermatopathology
Virtual case of the month
Rare necrotic lesion in a pregnant woman
  1. James Wiggins1,
  2. Emily Hayes1,
  3. Marc Heymann2,
  4. Rand Hawari3,
  5. Richard A Carr1
  1. 1 Department of Histopathology, South Warwickshire NHS Foundation Trust, Warwick, UK
  2. 2 Respiratory Medicine, Queen’s Hospital, Romford, UK
  3. 3 Department of Histopathology, Derby Teaching Hospitals NHS Foundation Trust, Derby, UK
  1. Correspondence to Dr Richard A Carr, Warwick Hospital, Department of Histopathology, Warwick CV34 5BW, UK; Richard.Carr{at}swft.nhs.uk

https://doi.org/10.1136/jclinpath-2017-204459

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Clinical question

    A 34-year-old female community nurse in her first trimester of pregnancy presented with a 2-week history of a tender, swollen and hyperkeratotic lesion on her chest with no history of trauma. The lesion started as a red ‘spot’, became crusted, pustular and formed an eschar. A generous incisional biopsy was taken.

    Review the high-quality, interactive digital Aperio slide at http://virtualacp.com/JCPCases/jclinpath-2017-204459 and consider your diagnosis.

    What is your diagnosis?

    1. Anthrax

    2. Cowpox

    3. Orf

    4. Pseudocowpox (Milker’s nodule)

    5. Varicella zoster

     The correct answer is after the discussion.

    Discussion

    Histopathology shows superficial ulceration, …

    View Full Text

    Footnotes

    • Handling editor Iskander Chaudhry.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.