Drug reaction, fixed: multilocular fixed drug reaction with extensive epidermolysis on sharply defined erosions in the area of the back of the hand and thumb.
Lichen planus exanthematicus: Itchy exanthema with 0.1-0.2 cm large, slightly raised, partly isolated, but also aggregated to larger plaques, smooth, shiny, red (also erosive) papules.
Systemic lupus erythematosus (late onset): characteristic "collagenosis hands" with variable blue-red and livid-red patches. 83-year-old patient with known (since several years proven) systemic lupus erythematosus.
erythema exsudativum multiforme. typical picture with different stages of development of the efflorescences. besides fresh smaller, flat papules, further developed, older larger plaques with discrete cocard structure. some plaques with indicated central vesicles.
Lichen simplex chronicus. approx. 3 x 5 cm large, itchy plaque with rough surface on the ventro-medial right lower leg of a 14-year-old female patient. In the surrounding area distinct scratch artefacts and also follicularly bound papules. In case of stress worsening; during stays at sea improvement of the findings.
Dermatitis herpetiformis. 3 months recurrent, disseminated, papules and vesicles on distinct erythema in a 59-year-old patient. in several efflorescences a blown off halo (bright rim) is visible. at the right border of the picture several fresh, barely 1 mm large reddened papules. the symptoms are described as unpleasantly stinging. no gastrointestinal symptoms.
erythema exsudativum multiforme. suddenly appeared, since 4 days existing, itchy, disseminated exanthema with cocard-like plaques. the skin changes appeared shortly after the beginning of antibiotic therapy for urinary tract infection. here the finding on the back of the hand. s. isomorphism (koebner phenomenon).
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