acrodermatitis continua suppurativa. complete destruction of the nail organ at the thumb end of the right hand of a 54-year-old patient. recurrent small yellowish blisters and pustules for approx. 4-5 years. considerable spontaneous and pressure pain in case of relapsing activities. no evidence of osseous destruction, no soft tissue calcification so far.
acrodermatitis continua suppurativa. persistent, therapy-resistant changes of the right thumb of a 68-year-old woman since 3 years. initially a suppuration at the medial nail bed was observed which became more and more severe and finally led to nail extraction. 2 further nail extractions followed after 2 recurrences. the nail matrix is distally detached and altogether dystrophic. in the distal region there is a smaller weeping plaque. secondary findings are a melanonychia striata as a central, dark, longitudinal stripe at the nail.
acrodermatitis continua suppurativa. chronic, red, rough plaques with recurrent pustular formation and onychodystrophies. pressure dolence. primary efflorescence (subcorneal pustules) and general symptoms are indicative. in the advanced course, acral skin and bone atrophies were observed in addition to the pronounced onychodystrophies.
Recurrent sterile pustular disease of theacromion, which tends to mutate and leads to atrophy and loss of nails if it occurs repeatedly and persists for a long time (see figure).
Acrodermatitis continua suppurativa. severe mutating, chronic pustular dermatitis with complete destruction of the nail organ of the left big toe. the anamnesis could be traced back over several years. episodic course with longer phases of low disease activity.
Acne, oil acne. reflected light microscopy: follicular hyperkeratosis, partially with central vellus hair in the area of the lateral lower thorax in a 20-year-old car mechanic.
Acropustulosis, infantile. disseminated, partly individually, partly grouped standing papules, vesicles and pustules in the area of the back of the hand and the finger extensor sides in infants.
Vesicles: Multiple, acute, grouped, 0.1 cm large, itchy, burning, white, smooth vesicles with a red border that have existed for 2 days in herpes simplex infection.
Brucellosis. One month after a vacation on a farm, occurrence of several acute, pinhead-sized red papules localized on the lower legs, disseminated, blurred, flatly elevated, low consistency proliferated, red papules in a 16-year-old female patient. Besides, isolated disseminated pustules.
Brucellosis. the skin changes were preceded by a prodromal stage with undulating pyrexia and uncharacteristic flu-like symptoms (headache and aching limbs). in this detailed picture, the different stages of development of the efflorescences are shown.
Tufted hairs:Folliculitis decalvans: Scar plate with wicklike tufts of hair in the centre, also in the marginal area of the scarring (see also under Folliculitis decalvans).
Folliculitis barbae. multiple, chronically active (changing symptoms for the last 3 months), follicular, sometimes painful, also itchy, red, rough papules and pustules localised on the neck and chin. no comedones. the patient shaves dry.
Folliculitis barbae. multiple, chronically active, increasing (since 3 months changeable symptoms), on the chin and perioral localized, single or confluent, follicular, sometimes painful, also itching, red, rough papules and pustules. no comedones.
Folliculitis barbae: Chronic therapy-resistant, inflammatory follicular papules and pustules in the area of the cheeks; Staphylococcus aureus could be obtained from pustular material several times.
Folliculitis, gram-negative. in the area of the facial skin localized, disseminated standing, solitary, partly excised papules, pustules and nodules in a 50-year-old man. periorbital lichenification of the skin relief.
Ostiofolliculitis. reflected light microscopy: neck area of a 46-year-old woman. Non-confluent, follicle-bound, targetoid, whitish-yellowish round foci (pustules) with central, brownish horn plugs as well as inflammatory surrounding redness with ectatic point vessels.
Psoriasis palmaris et plantaris: Plaque type with dyshidrotic vesicles and pustules. 22-year-old man shows a sharply defined, red, rough plaque with multiple, smaller vesicles and pustules and scaling with rhagades only in the area of the small finger ball. Significant deterioration during tennis.
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