actinomycosis (abdominal form). progressive fistulizing clinical picture in a 50-year-old patient since several years. the left half of the buttocks was infiltrated in a flat, board-like manner. no significant pain. besides blue-red coarse scarring, granulation tissue and fistulas with exudate (buttock center, Rima ani) are impressive.
Graft-versus-Host-Disease, chronic. 2 years after stem cell transplantation, large-area scleroderma and poikiloderma skin alterations with considerable movement restriction.
Graft-versus-Host-Disease, chronic. 56 years old patient with z.n. bone marrow transplantation 2 years ago. since 1 year increasing hardening of the skin. poikilodermatic picture with extensive whitish irritations, reticular hyperpigmentation and bizarre red spots. atrophic (parchment-like) surface epithelium with fine desquamation.
Radiodermatitis chronica. 72-year-old female patient who was radiated 15 years ago because of a left-sided breast carcinoma. 15 years ago. 15 years ago. 15 years ago. 15 years ago. 15 years ago. 15 years ago. 72-year-old female patient who was radiated because of a left-sided breast carcinoma. 15 years ago. 15 years ago. 15 years ago. 15 years ago. 72-year-old female patient who was radiated because of a left-sided breast carcinoma. 15 years ago. With extensive induration of the skin, a colorful-checked picture with bizarre white spots, flat or linear red spots (telangiectasia) as well as scaling and crust formation over corresponding ulcerations appears.
Scleroedema adultorum. extensive, board-like induration in the area of the upper back and neck. there is still a discreet erythema. the skin is not compressible and cannot be wrinkled.
Scleroedema adultorum. extensive, board-like indurations in the region of the upper back, neck and shoulders in a 65-year-old female patient with diabetes mellitus. secondary findings are shortness of breath and movement restrictions of the arms.
Circumscribed scleroderma. Atrophy of the right leg muscles, atrophy of the gluteal muscles on the right, shortening of the right leg (difference 2.0 cm) with consecutive secondary pelvic obliquity and scoliosis in a 19-year-old female patient. The right knee joint is massively restricted in its movement (extension/flexion 0/25/100).
Circumscribed scleroderma. Atrophy of the right leg muscles, atrophy of the gluteal muscles on the right, shortening of the right leg (difference 2.0 cm) with consecutive secondary pelvic obliquity and scoliosis in a 19-year-old female patient. Multiple white indurated plaques on the right leg are also present on the thighs, lower legs and in the foot area.
Scleromyxoedema: Multiple 0.1-0.2 cm large, roundish, non follicular papules with a smooth, shiny surface; their linear arrangement is typical, which is also found in lichen myxödematosus.
Graft-versus-Host-Disease: brownish pigmented, partly also scleroderma-like skin changes in the area of the forearm and hand, approx. 6 months after bone marrow transplantation.
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