anal carcinoma. rough, extensive, painless perianal and anal canal nodules existing for about 4 months. the patient has been infected with HIV for 18 years (C3 according to CDC/WHO), condition after thrush esophagitis and pneumocystis carinii pneumonia. longstanding history of recurrent condylomata acuminata.
Bowenoid papulosis. 3 x 3 cm area with a verrucous, skin-coloured, central whitish keratotic-derbal nodule localised in SSL perianal at 12 and 1 o'clock. Multiple skin-coloured tumours in the perianal circumference. Two lenticular, dark brown, flat raised plaques, each 0.6 cm in size, with a smooth surface, appear on the left perineum. On the right labia majora there is a brownish-red, slightly infiltrated plaque with a smooth surface. The finding occurred in a 41-year-old woman who had been infected with HIV for 20 years (AIDS full picture stage C3).
Condylomata acuminata. multiple, partly solitary, partly disseminated standing, 0.2-0.7 cm large, macerated papules and plaques with a verrucous surface. the findings shown here are after multiple surgical ablation under currently running local therapy with imiquimod.
Perianal localized, partly beet-like aggregated, laterally and medially also isolated, small, pointy-headed, reddish to brownish, soft papules and nodes in a 20-year-old patient.
Dyskeratosis follicularis. infestation of the Rima ani. chronic, intertriginous, whitish sooty, blurred, macerated, superficially rough, clearly increased in consistency, itchy and unpleasant smelling plaques. peripherally the characteristic picture of dyskeratosis follicularis with disseminated red or red-brown papules. on the left side 2 melanocytic nevi.
Psoriasis intertriginosa: chronic, intertriginous focus with maceration in the rima ani. intermittent itching, especially after sweating or prolonged sitting. also formation of painful fissures.
Psoriasis intertriginosa: circumscribed, sharply defined, red, rough plaque with erosion and maceration as well as formation of a rhagade in the area of the rima ani. considerable symptoms (itching, especially after prolonged sitting or sporting activity) and resistance to therapy.
Remark: In this case a systemic therapy with fumaric acid ester is recommended.
Scabies granulomatosa. after anti-cabial therapy persistent, severely itchy, grouped papules; individual nodules show streaky runners (see upper right) or are longitudinal in themselves.
Tinea corporis: Acute, intergluteally localized, symmetrically arranged, flat, oval, emphasized at the rim, peripherally progressing, fading towards the centre, flatly elevated, red, rough, blurred, scaly plaque in an 80 year old woman.
Drug reaction, fixed: solitary or limited to a few lesions, usually round to oval, deep red, later blue to brown-red, after healing brownish, sharply defined, succulent, itchy or slightly painful erythema.
AIN. Anal dysplasia. Large, hyperkeratotic area with smaller satellite lesions. The surface is granular and shows different areas of keratinization. Histologically, there was a grade 2 intraepithelial neoplasia.
Larva migrans. itchy disease of an infant. occurred after a stay in kenya 1 week ago. several, at the buttocks localized, irregularly distributed, sharply defined, linear, firm, red, smooth structures.
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