acrodermatitis continua suppurativa. persistent, therapy-resistant changes of the right thumb of a 68-year-old woman since 3 years. initially a suppuration at the medial nail bed was observed which became more and more severe and finally led to nail extraction. 2 further nail extractions followed after 2 recurrences. the nail matrix is distally detached and altogether dystrophic. in the distal region there is a smaller weeping plaque. secondary findings are a melanonychia striata as a central, dark, longitudinal stripe at the nail.
Varicella: Detail of a vesicular exanthema existing since a few days; here shown a centrally navelled, already in regression, flat, hardly tensed pustule with an erythematous border.
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.
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