James A. Ramirez

Digital dermpath :)
Tweets are my own and not medical advice.

[Woo Cheal Cho, MD @DrAldehyde]

Thursday #dermpath special. 😆🔬

In my practice this kind of low-power look on H&E suggests BPDCN until proven otherwise (as it’s so common here), but this time it’s different and HP gives some morphologic clue!

Cutaneous involvement by plasma cell myeloma

See IHC/ISH below.

[Siba El Hussein, MD @SibaElHussein]

Primary cutaneous acral CD8-positive T-cell lymphoproliferative disorder➡️
🩸Solitary red nodule
🩸Dense dermal medium-sized lymphocytic proliferation
🩸Extends into subcutis
🩸Characteristic Golgi dot-like pattern of CD68, unique to this entity #Hemepath #dermpath #PathTwitter

[Megan Smith @megothelioma]

So cool when you read about something and then it pops up under your scope. This is a good example of the blue keratinocytes seen in epidermodysplasia verruciformis.

#dermpath #dermatology #Pathtwitter #medtwitter

[Jerad Gardner, MD @JMGardnerMD]

Classic example of a rare #dermpath entity. What is this? Answer: https://t.co/Vohc2uaSvn. Short video: https://t.co/mIPANTujAN. #pathology #pathologists #pathTwitter #dermatology #dermatologia #dermtwitter

[Eamonn Maher @RashDecisionz]

Another Bluemor: Rapidly growing, ulcerated nodule on the chest of a 90 y/o #dermpath @HENRYY_MD @david_terrano @et565 @DiegoMoralesN @gonzadetoro @sgottesmanmd @redsnapperpath @alomaridermpath @vhnguyenmd

[Nicole D. Riddle, MD, MSHI, FCAP (she/her) @NRiddleMD]

Epidermal inclusion cyst of the skull… might be a first for me. 🤷🏼‍♀️ #Neuropath

[Rashmi Advani, MD, ABOM @AdvaniRashmiMD]

Young patient with history of recurrent GI bleeds presents with a small bowel obstruction and this finding ⬇️

What is the diagnosis?

#GIBoards #GITwitter #MedTwitter #GIPearl

[David Terrano @david_terrano]

<1 year old. Enlarge “bruise”-like plaque. Arm.

[Brie Schmidt @BSchmidtDpath]

Always a beauty! #dermpath

[Jerad Gardner, MD @JMGardnerMD]

Nasal mucosal mass. Your diagnosis? Answer & more pics here: https://t.co/1mrs23l3PX. Many thanks to @sadiqamer for these incredible images! #pathology #pathologists #pathTwitter #dermpath #dermatology #dermatologia #dermtwitter #ENTpath #microbiology

[Olaleke Folaranmi @DrGeeONE]

20 YOF with symmetrical blue black patches on the face, shoulders, posterior trunk.
Noticed in infancy.
Dermal melanocytosis (Nevus of Ota and Ito)
🔬:Dendritic melanocytes and melanophages "flowing in a East-West" direction (found that description cool!
#Dermpath #dermatology

[Dermpath-L @Dermpathl]

My most favorite skin pathology quote is this. #dermpath #pathology #dermatology #dermatopathology

[Rashmi Advani, MD, ABOM @AdvaniRashmiMD]

Middle aged man presents with progressive dysphagia, weight loss, cachexia and this finding on his feet.

What is the diagnosis?

#GIBoards #MedTwitter #GIPearl

[Greg A Gates, DO @GAGatesDO]

Cool soft tissue lesion from the leg! #dermpath #pathology

[Tristan Rutland MBBS FRCPA IFCAP @TristanRutland7]

Skin, face of older patient.

2 levels

#Dermpath #pathresidents #Pathtwitter

[Jerad Gardner, MD @JMGardnerMD]

"Cyst" on the trunk of an adult. Your diagnosis? (Hint: it's not a cyst!)
Answer: https://t.co/clsr5oMd9X
Video: https://t.co/adrYg9WPEZ
#pathology #pathologists #pathTwitter #dermpath #dermatology #dermatologia #dermtwitter #BSTpath

[Jerad Gardner, MD @JMGardnerMD]

One of my all-time favorite cases!!! Deep nodule hand. Your diagnosis?
Digital slide: https://t.co/n6UlAQfsro.
PAS, GMS, Polarized pics: https://t.co/pVwOZAbx9v.
Answer & video: https://t.co/yXyOxwvven
#pathology #pathologists #pathTwitter #dermpath #dermatology #dermtwitter

[Janet Pope @Janetbirdope]

#ClinicalPearl. Watch the red dot blanch. What is it and what #diagnoses are likely?

[Allison Osmond MD MSc FRCPC @redsnapperpath]

65 YOF, shoulder - pretty bland on low power - some H&E shots with MelA #dermtwitter #dermpath #PathTwitter #dermatology