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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, May 31, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's your diagnosis?

    I'll post the correct answer in a few days!

    DDx.jpg
     

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    Pubudu_weerawardana likes this.

  2. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    If anyone has an idea, there's some extra time now ;-)

    I'll post the correct answer in three days.
     


  3. ahmedserdr

    ahmedserdr Well-Known Member

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    bone metastases
     


  4. Pubudu_weerawardana

    Pubudu_weerawardana Famous Member

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    Multiple myeloma (-:
     


  5. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Multiple myeloma.

    In this case, there are lytic lesions visible that fit the disease very well. They're also frequently found in the skull, which because of it's appaerance is then called a 'pepper and salt' skull. Other findings include an elevated ESR and high immunoglobulin levels (mainly IgG).
     

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