Chronic prurigo Images

Prurigo nodularis. chronically active disease pattern, increasing since 5 years. generalized, disseminated, 0.4-2.0 cm large, very itchy, flatly raised or hemispherically raised, rough, red plaques and nodules. numerous excoriations (scratch artifacts). neck, hands and feet are not affected.

Prurigo nodularis. Close-up, excised and excised nodules.

Prurigo nodularis: Multiple, chronically stationary, disseminated, isolated, sharply defined, raised, round, calotte-like, coarse, grayish grey to dirty grey, very itchy, rough nodules with a verruciform surface.

Prurigo nodularis: Condition before and after 8 months of Dupilumab therapy (image varied and taken from: Wieser JK et al. 2020)

 

Differential diagnosis of Prurigo nodularis: Lichen planus verrucosus: Isolated and aggregated, massively itchy, scratched papules and nodules in the area of the lower leg (resistance to therapy; progression over years).