Psoriasis vulgaris : Generalised, non-pretreated psoriasis with scaly plaques of varying size, partly homogeneously filled in, partly with anular pattern.
psoriasis vulgaris. plaque psoriasis. the 54-year-old patient has been suffering from this non-itching disease for about 30 years. he has given up treatment in the meantime. fully developed, untreated psoriasis vulgaris with 5.0-7.0 cm large, coarse plaques covered by firmly adhering scaly deposits, which give the plaques their white-grey colour. the plaques have a reddish edge (here the actual red colour of the plaques is not covered by scales).
Psoriasis vulgaris. plaque psoriasis. sharply defined reddened plaque with coarse lamellar scaling.
Psoriasis vulgaris Exanthematic psoriasis vulgaris with coin-sized, coarsely lamellar scaling, erythematous plaques confluent in places.
Psoriasis vulgaris. chronic active psoriasis. overview: multiple, erythematous, little scaly (pre-treatment), in places confluent red papules and plaques in a 62-year-old patient.
Psoriasis vulgaris. chronic, inpatient psoriasis with little relapse activity. general view: multiple, chronically inpatient, disseminated, erythematous, scaly, partly confluent red papules and plaques in a previously skin-healthy 12-year-old boy.
Psoriasis vulgaris. detail enlargement: flat, erythrosquamous plaque as well as smaller erythrosquamous, size-progressive papules.
Psoriasis vulgaris. psoriasis guttata. general view: Multiple, chronically inpatient, disseminated, erythematous, scaly, partly confluent papules and plaques in a previously skin-healthy 6-year-old boy.
psoriasis vulgaris. psoriasis guttata. general view: several, chronically inpatient, on the back disseminated, partly confluent, erythematous, silvery scaly papules and plaques of a 6-year-old boy. the skin changes had been conspicuous for the first time 6 months ago.
Psoriasis vulgaris: 12-year-old Ethiopian boy, non-pretreated chronic inpatient plaque-type psoriasis in dark skin.
psoriasis vulgaris. psoriasis guttata. 48-year-old patient. discreet inpatient psoriasis vulgaris (elbow, capillitium), known for about 10 years. exanthematic relapse after streptococcal infection (angina tonsillaris). the figure shows a still relapse-active (see numerous spot-shaped psoriatic foci) exanthematic psoriasis vulgaris with small, scaly, reddened papules and coin-sized plaques.
Chronic stationary psoriasis: typical pattern of infection on the capilliium with spread of psoriatic plaques to the non-hard forehead skin.
Psoriasis vulgaris. p soriasis of the scalp (untreated condition). Chronic stationary, disseminated, silvery scaling, large-area, adherent plaques of a previously skin-healthy 6-year-old boy, localized at the capillitium. Remark: In contrast to seborrhoeic eczema of the scalp, psoriasis exceeds the line of the hairline.
Psoriasis vulgaris. generalized psoriasis with nummular, dry scaling plaques in a 12-year-old boy. episodic course of the disease. the characteristic feature of psoriasis is the pattern of attack that extends beyond the hairline.
psoriasis vulgaris. plaque psoriasis. solitary, chronically inpatient, intermittent, sharply delineated, reddish, silvery scaly plaques localized in the face in a 6-year-old girl. erythrosquamous plaques also appear on the extensor sides of the arms and legs. symmetrical infestation. positive family history.
Psoriasis of the plaque-type (partial neckline). multiple, chronically stationary, sharply defined, reddish, silvery scaly plaques in a 12-year-old boy. erythrosquamous plaques also appear on the extensor sides of the arms and legs as well as on the trunk. symmetrical affection. positive family history. typical is the crossing of the hairline by the psoriatic foci.
Psoriasis vulgaris. Little infiltrated circinear-rimmed plaques.
Psoriasis vulgaris: discreet, not pre-treated psoriasis on both elbows
psoriasis vulgaris. generalized plaque psoriasis. solitary, chronically inpatient, sharply defined, coarsely consistent, white, rough plaque with red border at the rima ani. the surface of the plaque is covered with cap-like scales. similar plaques were found on the elbow extensor sides. the clinical picture is pathognomonic.
Psoriasis vulgaris. general view: multiple, solitary or confluent, nummular, also confluent, erythrosquamous plaques with psoriasis vulgaris existing since youth.
Psoriasis vulgaris. general view: multiple, solitary or confluent, nummular or large-area, erythrosquamous plaques on the buttocks of a 49-year-old woman with psoriasis vulgaris existing since adolescence. the skin lesions continue into the rima ani.
Psoriasis vulgaris. psoriasis palmaris. nummular and flat, reddened plaques with coarse lamellar, partly silvery impressing scaly deposits in the area of the back of the hand and the sides of the fingers. similar skin changes with emphasis on the sides of the hand and symmetrical infestation can be seen on the remaining integument.
Psoriasis vulgaris Psoriasis palmaris with streaky and flat, reddened plaques and coarse lamellar scaly deposits.
Psoriasis vulgaris: subungual affection with partial onycholysis. A fresh, linear bleeding can be seen on the nail of the middle finger (lever trauma). The ring finger shows a band-shaped red coloration adjacent to the onycholysis zone as a sign of the subungual psoriatic inflammatory reaction.
Psoriasis vulgaris: completely untreated plaque psoriasis with massive scaly coating.
Psoriasis vulgaris, detail section: Chronic dynamic plaque in the axilla of a 6-year-old girl, occurring in recurrent attacks and existing for 10 days, increasing, solitary, red, rough, covered with cap-like scales.
Psoriasis vulgaris. localized psoriasis. chronic dynamic plaque on the right eyelid of a 6-year-old girl, occurring in recurrent attacks and persisting for 5 days.
psoriasis vulgaris. localized psoriasis. no further foci! chronic dynamic, red, rough plaque covering the entire left orbital region. in addition, in the 60-year-old woman, discrete, red, slightly scaly plaques have existed for several years on the elbows, knees, sacral region, rima ani, scalp and ears (retroauricular accentuation).
Psoriasis vulgaris: Erythematous, scaly plaque on the tip of the nose of a 34-year-old woman, which appeared for the first time about 1.5 years ago and measured about 1.5 cm.
Psoriasis vulgaris. abbortive form with infestation of the nostrils on both sides. The clinical picture is clinically relevant in that rhagades and pain occur. Local therapy is laborious.
psoriasis vulgaris. seborrhoid psoriasis. large, flat, red, rough plaques with fine-lamellar scaling, localized by the centrofacial system, appearing in a 26-year-old woman. similar skin changes were found on the trunk and the extensor extremities. relapsing course of the disease since adolescence.
Psoriasis vulgaris. psoriatic erythroderma. spread of psoriasis vulgaris as a maximum variant over the entire integument in the form of a generalised redness with scaling. rapidly spreading clinical picture; strong feeling of illness; high loss of fluid and temperature.
Psoriasis vulgaris as a cutaneous mosaic (distribution pattern in the Blaschko lines) The changes can also be diagnosed as "psoriasiform ILVEN".
Psoriasis vulgaris: Psoriatic plaques around seborrhoeic keratoses (Meyerson phenomenon).
Psoriasis vulgaris Psoriatic plaques around a larger and smaller (between the senile angioma shown above and the melanocytic nevus shown on the right) seborrhoeic keratoses (see also nevus, melanocytic, Meyerson's nevus).
psoriasis vulgaris. treated psoriasis vulgaris. the previously existing typical psoriatic plaques are replaced by red spots with marginal hyperpigmentation. the treatment was carried out locally with dithranol [cignolin]. scaling no longer present. the brewing discoloration of the lesional surroundings are reversible discolorations of the nromal skin by diathranol. the diagnosis "psoriasis" is doubtless due to the known anamnesis.
Psoriasis vulgaris. 52-year-old patient with known psoriasis, which has been increasingly affecting the entire integument for four months. universal redness (with little induration) and scaling of the skin. erythrodermal findings.
Psoriasis vulgaris. 53-year-old patient with known psoriasis vulgaris who was externally treated with dithranol (cignolin) for three weeks. The bright rings around former psoriasis lesions (centre) correspond to healing zones (woronof rings) and can be interpreted as signs of progressive healing of the psoriasis.
Psoriasis vulgaris. electron microscopy: G = intraepidermal granulocyte; K = keratinocyte; N = nucleus.
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