Syphilis acquisita. papular syphilide: In the 42-year-old HIV-positive male, erythematous papules are present in the area of the glans penis and the inner preputial leaf. Similar skin lesions are found on the whole integument as well as on Palmae and Plantae. 8 weeks before, a painless ulcer with indurated wall had formed on the glans, which healed without therapy.
Leishmaniasis, cutaneous. solitary, chronically inpatient, no longer increasing, existing for about 18 months, approx. 3.0 x 3.0 cm, whitish, skin-coloured to brown scar localized on the right cheek. atrophic surface, folded. stay in endemic area (Africa) before first appearance.
Addison's disease: homogeneous hyperpigmentation of the back in a 35-year-old man; especially accentuated on the lateral parts of the back and in the lumbar region. The patient made a statement typical for Addison's disease: "Last summer's suntan did not recede as usual" The transverse light stripes of the lumbar region correspond in appearance to striae cutis distensae.
Healed fingertip necroses in chronic " Graft-versus-Host-Disease": 2 years afterstem cell transplantation, large-area scleroderma and poikiloderma skin changes. Massive acrosclerosis. Scarring on the fingertips after healed fingertip necroses.
Hyperpigmentation, post-inflammatory. multiple, on both cheeks localized, chronically stationary, laminar, no longer increasing, circumscribed brown discoloration of the skin. Occurs following severe contact dermatitis with frequent use of cosmetics despite existing type 4 sensitization to fragrances.
type i neurofibromatosis, peripheral type or classic cutaneous form. numerous smaller and larger soft, predominantly pigmented, practical nodules and nodules. in the larger nodules the so-called "bell-button phenomenon" can be detected. the palpating finger penetrates the deep dermis as if through a fascial gap. few café-au-lait spots. papules and nodules. only isolated rather discreet café-au-lait spots.
Circumscripts of scleroderma (small-heart plaque or confetti type): disseminated, symptomless, 0.1-0.2 cm large, confetti-like, white spots/papules with (incident light microscopic) detectable, atropically shiny surface. The skin lesions have now been discovered (by chance) after sunbathing. Histology: No evidence of Lichen sclerosus.
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