Purpura jaune d'ocre. multiple, symptomless, reddish-brown to brown-black spots of varying size localized on lower legs and back of the foot. known chronic venous insufficiency with recurrent swelling of lower legs and back of the foot.
Melanonychia striata longitudinalis. initial findings in 2006. Completely asymptomatic longitudinal pigmentation of the nail plate, which has existed for about 2 years and has increased continuously.
Urticaria pigmentosa: general view: about 0.5-1.0cm large, disseminated, oval or round, brownish-red spots. only when rubbed, increased redness of the spots with accompanying itching. also in warm showers or baths increased redness and clearly palpable elevation of the lesions. remark: control image 1 year later.
keratosis palmoplantaris papulosa seu maculosa. severe keratosis of the planta pedum in a 26-year-old woman. since early childhood multiple, small, isolated, wart-like horny cones with a rough, scaly surface are visible. a melanocytic nevus is also present on digitus III.
Lyme borreliosis, late stage: symptomless, morphea-like, blurred plaques existing for several months. borrelia titer with highly specific bands positive. histo: diffuse, plasma cell-rich superficial and deep dermatitis. PCR: detection of borrelia antigens.
Erythema gyratum repens: Anular, also garland-shaped, slightly infiltrated, reddish-brown plaques, sometimes scaly. No itching. Known bronchial carcinoma.
Melanoma, malignant, nodular: in the centre of the lesion of red surface smooth nodules with peripheral growth, here formation of small clots which are no longer distally connected to the primary tumour (satelliteosis).
Keratoakanthomas, multiple eruptive. suddenly formed, now 1.0 cm in diameter, hard, painless, bowl-shaped node with marginal lip and central horn plug (typical morphology). sliding on the pad. no regional lymph node swelling. in the surrounding area beside single actinic keratoses, several skin-coloured or slightly yellowish solid papules up to 0.4 cm in size (initial keratoakanthomas). 73-year-old patient with long-term immunosuppression (!).
Keratoacanthoma: A few months old, initially flat, in the last 2 months strongly progressive in size, coarse knot with a rough edge wall and a blackish (obviously bled into) central horn plug in a 76-year-old man.
Lentigo of the mucosa: for 10 years persistent, irregular, blurred, brown-black spots in the area of the inner side of the labia in a 59-year-old female patient
Keratoakanthoma, classic type. hard, reddish, hard, reddish, with a central horn plug, grown within a few weeks, measuring about 1.2 cm in diameter, symptomless lump with isolated telangiectasias on the surface, in an 83-year-old female patient. minor pronounced actinic elastosis with a rough wrinkle relief.
Cheilitis actinica chronica. warty, yellowish, firmly adherent, very coarse hyperkeratosis on atrophically diluted, washed-out lip red in chronic actinic cheilitis. a transition to invasive squamous cell carcinoma must be clarified. the upper lip is largely unchanged (lip shadow).
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