Acrodermatitis chronica atrophicans: extensive, oedematous, tender red erythema as well as flaccid atrophy with cigarette-paper-like folding of the skin on the right hand of a 77-year-old woman. For 2 years there has also been joint pain in both hands and both shoulder joints as well as gait insecurity with proven neuroborreliosis. The fingernails are partly dystrophic (see stripy leukonychia) and partly no longer firmly connected to the nail bed.
Lymphoma, cutaneous T-cell lymphoma. type: mycosis fungoides plaque-stdium with incipient transformation into the tumor stage.Multiple, chronically dynamic, increasing in size and number, anular, confluent, smooth, red-livid spots and plaques. systemic, sarcoidal reactions occurred in the mediastinum.
Gottron's sign in dermatomyositis. 72-year-old patient with dermatomyositis known for 1 year. striped red, scaly papules and plaques over the base joints of the fingers. flat, deep red, painful and slightly scaly plaques on the enphalanges, also directly periungual. distinct hyperkeratotic nail folds.
Mastocytoma kutanes: 1.0 x 2.0 cm, yellow-brown, flat, crescent-shaped, raised lump with blurred edges, protruding in the first two months of life; normal surface relief above the lump.
dermatomyositis: reflected light microscopy. hyperkeratotic nail folds. pathologically enlarged and torqued capillaries. older bleeding into the nail fold.
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.
Multiple mastocytomas: disseminated, flat, brownish-reddish, itchy, smooth patches and plaques on the trunk and extremities of an 8-month-old boy; attention should be paid to the intact surface pattern of the field skin over the lesional skin.
Tinea manuum. flat, borderline, little scaling flock with single follicular papules in the area of the back of the hand and forearm, little itching, for several months.
Erythema nodosum (affection of the upper and lower extremities): acute, multiple inflammatory, painful, clearly consistency increased plaques and nodules; accompanying arthritis of the right ankle joint.
Nummular dermatitis: chronic, for 8 weeks existing, localized on the back of the hand, approx. 6 cm in size, reddish, raised, partly eroded, partly crusty plaques in a 47-year-old man; no evidence of psoriasis vulgaris or atopic diathesis.
Chilblain lupus. early stage with livid-red, surface smooth, painful plaques. clinical picture reminiscent of chilblain (frostbite lupus). no other systemic signs of lupus erythematosus.
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