atrophy. 63-year-old female patient with known porphyria cutanea tarda. evenly tanned facial skin. vertically running, sharp wrinkles of the forehead skin as well as deep, radial wrinkles of the perioral region. involution of the lip red.
Atrophy: Flaccid atrophy (Cutis rhomboidalis nuchae) in an 82-year-old farmer. Solar atrophy of the skin of the neck and the lateral parts of the neck. Paving stone-like surface relief with intersecting longitudinal and oblique furrows (Cutis rhomboidalis nuchae), caused by the severe elastosis actinica (typical is the yellow-white colour of the skin change). The atrophic furrow formation ends abruptly in the area of the hairline (UV-protective effect).
Atrophy.striae cutis distensae.53-year-old patient who has been treated externally and internally with glucocorticoids for one year. striae cutis distensae without subjective symptoms. 2-3 mm wide flat atrophic lesions running in transverse direction to the skin tension with a parchment-like surface. the red tone is caused by the rupture of the connective tissue and atrophy of the surface so that vessels can shine through.
Lipoatrophy, localized after glucocorticosteroid injections: 2.5 x 3.0 cm large, circular area with whitish atrophy of the skin and telangiectasia. Significant loss of substance of the subcutis and fatty tissue. Distally of the atrophy a slight swelling in the sense of a lymphatic congestion is visible. The skin changes developed in the course of the last two years, after a single steroid injection into the left knee due to knee problems.
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