Vasculitis, leukocytoclastic (non-IgA-associated). multiple, petechial haemorrhages and haemorrhagic filled blisters in the area of the back of the hand and finger extensor sides. severe feeling of illness persists.
Dermatomyositis (V-sign): Characteristic cutaneous symptoms of the backs of hands and fingers, almost proving the diagnosis of "collagenosis", with reddish-livid papules arranged in stripes, which merge to form flat plaques in the area of the end phalanges. Painful nail fold keratoses with parungual erythema are sometimes seen. Such papules arranged on the stretching side are also found in SLE and mixed collagenosis, rarely once in lichen planus.
Klippel-Trénaunay syndrome: extensive vascular malformation with extensive nevus flammeus affecting the trunk and both arms. no evidence of soft tissue hypertrophy so far. no AV fistulas. here detailed picture of the back of the right hand
Striae cutis distensae. 13-year-old girl with striped red spots on upper arms, thighs and buttocks, rapidly growing within the last six months. linear, horizontally oriented, striped red spots. on delicate palpation a slight depression of the surface can be detected. thus flat, striped atrophy is present.
Differential diagnosis "Naevus anaemicus"; naevus depigmentosus; congenital white spot, calm, not cracked boundary pattern, after vigorous rubbing the lesional skin reacts with nromal reactive redness.
Purpura: trauma-induced older and fresh skin bleeding, in a 68-year-old patient with bronchial asthma and several years of taking a steroid-containing asthma spray,
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