porphyria cutanea tarda. shown here is a detailed picture of the hand with an overall generalized, chronically dynamic infection on the integument of a 55-year-old man. on the right hand, hemorrhagic blisters appear a few hours old next to older, crusty erosions and flat atrophic, somewhat depigmented scars. the blisters appear after banal everyday traumas. the blistering is combined with hyperpigmentation in the face and neck (melanodermic porphyria brugsch) and hypertrichosis lanuginosa of the zygomatic arch.
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.
Wickham's drawing: The stripes in each efflorescence appear as broad, white differently configured (also branched) lines; characteristic is the livid discoloration of the lichen planus (dermoscopic picture) .
Leishmaniasis, cutaneous: about 8 weeks old, furuncoloid, moderately pressure dolent, red, rough lump with extensive central ulceration; history of previous vacation in Egypt; no systemic complaints.
Hyalinosis cutis et mucosae: Chronically stationary, persistent, no longer increasing, red to yellowish indurated plaques on the knuckles of the fingers of a 59-year-old patient, existing since youth.
Psoriasis arthropathica: Acralaccentuated psoriasis vulgaris (features of acrodermatitis continua supuativa) with severe nail dystrophy; distended, painful peripheral finger and middle joints as a sign of psoriatic arthritis.
Syringome disseminated: 78-year-old male patient. the brownish-red subjectively completely asymptomatic papules; they would have existed "forever". spreading flat only on the right forearm on the inside. the diagnosis was confirmed bioptically.
Hand-Foot-Mouth Disease: since about 1 week, painful, blisters, pustules and papules on hands and feet, about 1-2 weeks before, unspecific flu-like prodrome.
Myxomed skin: Completely smypotless, soft skin-coloured papules and nodules of the skin, which have been increasing for years, no systemic involvement.
Prurigo simplex acuta infantum: For several days massive progressive, disseminated, agonizingly itching, generalized, excoriated, glassy or reddish papules on the thighs of a 6-year-old boy.
Dermatomyositis (overview): Striped arrangement of red papules and plaques, which confluent to flat areas in the area of the end phalanges; strongly pronounced nail fold capillaries.
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