Digital dermpath :) Tweets are my own and not medical advice.
Ann Arbor, MI
Joined September 2016
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James A. Ramirez retweeted
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.
James A. Ramirez retweeted
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
James A. Ramirez retweeted
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
James A. Ramirez retweeted
Classic example of a rare #dermpath entity. What is this? Answer: kikoxp.com/posts/11339. Short video: kikoxp.com/posts/11338. #pathology #pathologists #pathTwitter #dermatology #dermatologia #dermtwitter
James A. Ramirez retweeted
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
James A. Ramirez retweeted
Epidermal inclusion cyst of the skull… might be a first for me. 🤷🏼♀️ #Neuropath
James A. Ramirez retweeted
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
James A. Ramirez retweeted
Nasal mucosal mass. Your diagnosis? Answer & more pics here: kikoxp.com/posts/5703. Many thanks to @sadiqamer for these incredible images! #pathology #pathologists #pathTwitter #dermpath #dermatology #dermatologia #dermtwitter #ENTpath #microbiology
James A. Ramirez retweeted
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
James A. Ramirez retweeted
Middle aged man presents with progressive dysphagia, weight loss, cachexia and this finding on his feet.
What is the diagnosis?
#GIBoards #MedTwitter #GIPearl
James A. Ramirez retweeted
"Cyst" on the trunk of an adult. Your diagnosis? (Hint: it's not a cyst!)
Answer: kikoxp.com/posts/8892
Video: kikoxp.com/posts/4093
#pathology #pathologists #pathTwitter #dermpath #dermatology #dermatologia #dermtwitter #BSTpath
James A. Ramirez retweeted
One of my all-time favorite cases!!! Deep nodule hand. Your diagnosis?
Digital slide: kikoxp.com/posts/1782.
PAS, GMS, Polarized pics: kikoxp.com/posts/9858.
Answer & video: kikoxp.com/posts/4058
#pathology #pathologists #pathTwitter #dermpath #dermatology #dermtwitter
James A. Ramirez retweeted
#ClinicalPearl. Watch the red dot blanch. What is it and what #diagnoses are likely?
James A. Ramirez retweeted
65 YOF, shoulder - pretty bland on low power - some H&E shots with MelA #dermtwitter #dermpath #PathTwitter #dermatology
