Acrocyanosis in right heart failure in age-related atrophic, shiny skin with solar lentigines on the back of the hand (DD: chronic Lyme disease - picture of acrodermatitis chronica atrophicans).
haematoma, nail haematoma. nail alteration after slight crush trauma. striped, red and blue-black spots (splinter hemorrhages). since red and black shades are present at the same time, this finding speaks against a melanotic pigmentation.
Amalgam tattoo. chronic inpatient blue-black stain on the alveolar process mucosa at the level of the apex of the right lateral incisor, existing since 2 years. on the basis of the radiological examination evidence of a root tip resection and retrograde root filling of the tooth with amalgam.
Ecchymosis syndrome, painful seti 6 months of recurrent, painful, extensive skin bleeding on the abodes and extremities in an otherwise healthy 69-year-old female patient
Spider veins. Multiple, radially spread, radiating vascular dilatations of different calibre, partly in the skin level, without symptoms, persisting for several years, as if drawn with a thin pencil, located at the level of the skin, on the integument of a 77-year-old female patient. In the centre confluence of the filigree vascular strands to a bluish red spot.
Ecchymosis. circumscribed purple-shaped hemorrhage on the chin of a 14-year-old boy. the lesion is caused by the creation of a negative pressure (suction of a glass) on the chin.
Raynaud's phenomenon:Raynaud's syndrome known for several years. No indication of systemic scleroderma. Here condition after Raynaud's attack with massive blue discoloration of the fingers.
angiosarcoma of the head and facial skin. for several years (!) increasing, so far completely asymptomatic, blurred, red spots on cheeks and forehead in a 75-year-old man. medical consultation because of recurrent, extensive bleeding in lesional skin. since one month growth of a soft, 8 mm large, solid blue-black node in the middle of the cheeks. extensive, configured redness with bizarre, linear and reticular telangiectasia. bleeding in the zygomatic bone.
Haematoma; after a fall on the left forearm a flat, bluish discoloration occurred; it is a bleeding of varying intensity into the skin and the subcutaneous fatty tissue, which, depending on its age, passes through different shades of colour in stages: first blue-red, then blue, later green-yellow and yellow.
hematoma. painful stain after blunt trauma a week ago. blurred, peripherally tapering stain with the different shades of hemoglobin breakdown. the center is pressure-dolent. a nodular hardening is palpable in depth.
acrocyanosis in age-atrophied, shiny skin with half and half nails. DD: chronic lyme borreliosis. here the picture of acrodermatitis chronica atrophicans is present. the cold-dependence of the redness is not very pronounced. conspicuous (see stronger enlargement) the smooth atrophic skin surface. a positive borrelia serology is always to be expected in this stage of a borrelia infection.
Spider veins. 35-year-old female patient. The linear erythema (compressible by glass spatula pressure) has been developing increasingly since the second pregnancy two years ago. Linear, red spider vein structure (linear erythema) starting from a ?source point?, which branches off in places to form a net-like formation.
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