🚨 A 8 year-old male patient with no significant medical history presented to the dermatology outpatient department with a progressive, painless swelling of his neck that had been developing over 1 year.
🚨 The patient was treated in a tertiary care center,Initially noticed as a small, firm nodule, the lesion gradually increased, eventually ulcerating and discharging a serous fluid.
🚨 large confluent nodule on the neck, with parts of the overlying skin appearing violaceous and others showing signs of ulceration.
🚨 Some areas of the lesion had broken down to form sinuses that discharged a seropurulent material. No other similar lesions were observed elsewhere in the body.
🚨 Few lesions with ulceration and discharge noted over bilateral axillary region ..
History of death of sibling with similar complaints 10 days ago.
🚨 What's your diagnosis ?
#case_diagnosis
🚨 The patient was treated in a tertiary care center,Initially noticed as a small, firm nodule, the lesion gradually increased, eventually ulcerating and discharging a serous fluid.
🚨 large confluent nodule on the neck, with parts of the overlying skin appearing violaceous and others showing signs of ulceration.
🚨 Some areas of the lesion had broken down to form sinuses that discharged a seropurulent material. No other similar lesions were observed elsewhere in the body.
🚨 Few lesions with ulceration and discharge noted over bilateral axillary region ..
History of death of sibling with similar complaints 10 days ago.
🚨 What's your diagnosis ?
#case_diagnosis
tgoop.com/drahmedabdalghany/10980
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🚨 A 8 year-old male patient with no significant medical history presented to the dermatology outpatient department with a progressive, painless swelling of his neck that had been developing over 1 year.
🚨 The patient was treated in a tertiary care center,Initially noticed as a small, firm nodule, the lesion gradually increased, eventually ulcerating and discharging a serous fluid.
🚨 large confluent nodule on the neck, with parts of the overlying skin appearing violaceous and others showing signs of ulceration.
🚨 Some areas of the lesion had broken down to form sinuses that discharged a seropurulent material. No other similar lesions were observed elsewhere in the body.
🚨 Few lesions with ulceration and discharge noted over bilateral axillary region ..
History of death of sibling with similar complaints 10 days ago.
🚨 What's your diagnosis ?
#case_diagnosis
🚨 The patient was treated in a tertiary care center,Initially noticed as a small, firm nodule, the lesion gradually increased, eventually ulcerating and discharging a serous fluid.
🚨 large confluent nodule on the neck, with parts of the overlying skin appearing violaceous and others showing signs of ulceration.
🚨 Some areas of the lesion had broken down to form sinuses that discharged a seropurulent material. No other similar lesions were observed elsewhere in the body.
🚨 Few lesions with ulceration and discharge noted over bilateral axillary region ..
History of death of sibling with similar complaints 10 days ago.
🚨 What's your diagnosis ?
#case_diagnosis
BY Dr. Ahmed Abdelghany Khalifa
![](https://photo2.tgoop.com/u/cdn4.cdn-telegram.org/file/qN0sWcfHYe9rI1Z44E05MN1gDrGQaNQNV1kIqXtwO2uISG1Zd0KcVMlgEumN6cbSBhGeS2Z8yJUdJ6qBkXBok4erL72lFQHTbajoilN8phMQ2uaigbNQW9vcuD5Pet8nuyUyIgewWqoCAEUPzraI9Qw0_Mh7s7X9eUcZoGTG4Fhy--hFwbEk4r6zLOoxMcJQKa3m5xQo-56F0PjRSNpVrWIdBUzRSlxgl8dO1MaGOAtM8Q1TV8oerCijuvihf_090YFi7FuEMvaVR7-VHhYuQKBAgV4mdyCmB_ENqOCT7hp7LQMYDZdq_1G0WvCYrOZJCNvPKvfJM5bsta_EP70wQg.jpg)
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![](https://photo2.tgoop.com/u/cdn4.cdn-telegram.org/file/ZtUzTGxdCLNwykV0DXFo30GzFRRyiy592Wf-jz3tOzqQmTq43huhigB4xVuuJCOrBdU5RphHFYtTQJQ7rD1QulTpuxicHFC3MSTyOv7fmT3Ke1MnEzRAv3xgaUsnV_XQQo8cuGZS8S12L-CsHE3irTmXdCtP7aQoLaywdSOL15g2-TuK-0lDDs_qVyZF_Tfn1uq36gi1iG4yZmIXWoUTpaDpNLozn9UcipPEm_3mSW6rM2XPluO1C1LSeXttQzOYiyjCD5rM2l5TqWAJRJjFxtO2Te212J18q5cSjfa8_V7OSK9F8lrQUHXJAyldvnFErHcc3JAy1weopOPa-tq_0g.jpg)
![](https://photo2.tgoop.com/u/cdn4.cdn-telegram.org/file/Ws-zlc2ENmW2FXM3dYAyvhwRNdG6IUH2YClfKVuRW_vklhR7N_DjqhnPKR6ZpHGprW9KkG8F8fHhFCLonQ9Y4J9U_hZ2sVVKxGLJnh9v321yKE4NzPYdhLn1eArVTo8rud_2EHeRQ6Jlv9NeoRSUjHfy_kkZ2tV03lDCUDBJtCR2YlTQhcs1UD2M-afuqFbqgn7PPWg4l6eHU3QEGGjbiPS21BG3krIi6Sl1QB8dAqPjzHyVyG55NDY7cEsX506OZi6010rtbu0Tyu0JL61-KupW1VTBOiuMnLBgy8q_09bObX9bC1rNi9c5b1_dWVDTxOty4imQyzsPp7sWhZcuwQ.jpg)
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