James A. Ramirez
@JRamirezMD
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Dermatopathologist at CTAlab. Digital dermpath :) Tweets are my own and not medical advice.
Ann Arbor, MI
Joined September 2016
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.
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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
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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
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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
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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
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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
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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
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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
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Middle aged man presents with progressive dysphagia, weight loss, cachexia and this finding on his feet. What is the diagnosis? #GIBoards #MedTwitter #GIPearl
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"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
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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
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65 YOF, shoulder - pretty bland on low power - some H&E shots with MelA #dermtwitter #dermpath #PathTwitter #dermatology
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