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.
Thrombangiitis obliterans. 46-year-old patient with severe nicotine abuse lasting for decades and acrocynosis existing since 6 months (even more severe in cooler surroundings) as well as mummified toe tip necroses with osteolysis.
Thrombangiitis obliterans. 32-year-old patient with years of nicotine abuse and patchy plantar rythema and mummified toe cap necroses existing since 6 months.
Fibromatosis, digital infantile. detailed enlargement of the findings of the right big toe of the above mentioned patient. 2 very rough, in the center somewhat yellowish, reddened nodes at the margins are impressive.
Infection of the foot, gram-negative, strongly weeping, in places crusty, painful, foul-smelling, extensive erosion in the area of the forefoot with maceration of the interdigital space. extensive hyperkeratosis of the plantar forefoot.
In the area of the forefoot and the digites I and II, a foul-smelling, yellowish-smeary ulceration extending to the subcutis is visible. Furthermore, there are chronically stationary, long-standing, skin-coloured papules (papillomatosis cutis lymphostatica) aggregated to form bed formations, as well as partially whitish macerated toe spaces.
Foot infection, gram-negative. detailed view: clearly visible are the laminar substance defects and the white, purulent and crusty macerations on the backs of the toes and on the forefoot. furthermore, multiple, smooth, round or oval, firm, brownish papules in the sense of a chronic stasis dermatitis are visible on the back of the foot.
melanoma malignes acrolentiginous. dark discoloration of the right small toe existing for years. growth of thickness for 1/2 year, discoloration increasingly decreasing. now: largely amelanotic, centrally ulcerated and macerated nodule at the 5th toe. remark: treated as mycosis for several months.
Melanoma, malignant, acrolentiginous.Here: amelanotic malignant melanoma: Chronic inpatient tumor in an 80-year-old patient, existing since 2 years, localized at a pressure-exposed site, flat, sharply defined, slightly painful, similar to an ulcer, slightly raised, flat, ulcerated. The diagnosis as primary tumor was made by finding a metastasis. Note: The diagnosis of malignant melanoma in the presented case can only be made histologically. Clinically, at best, a suspected malignant tumor can be made, which must be clarified histologically.
melanoma, malignant, acrolentiginous. solitary, chronically inpatient, since years existing, slightly size progressive, indolent, recently bleeding in banal traumas, blue-black nodule, which lifts the nail matrix and has almost completely displaced it laterally. the nail itself shows a stripy, brown-black discoloration. the perionychium is brownish pigmented.
Ulcer of the skin. after accidental scalding with boiling water through an opening hot-water bottle acutely occurring ulcerations on the sides of the toes. isolated necrotic areas.
Verrucae vulgares: solitary and beet-like aggregated, papules and plaques with fissured, hyperkeratotic-verrucous surface; generalized wart formation with long-term, high-dose immunosuppression.
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