Melanoma, malignant, acrolentiginous, subungual and paraungual, black pigmented tumor in the fingernail area, advanced stage with destruction of the nail.
Mlelanom malignes acrolentiginous: Subungual malignant melanoma. Characteristic is the stripy growth through the entire length of the nail. The arrow marks the so-called Hutchinson sign.
Circumscript scleroderma: profound circumscript scleroderma (deep morphea); rare subtype of circumscript scleroderma (<5% of patients); nodular indurations in the subcutaneous fatty tissue were found.
Porokeratosis Mibelli. gradually progressive finding with solitary, 0.1-0.2 cm large, symptom-free, yellow-brown horny papules (primary lesion), which have been present for years. As shown here, they show surface and thickness growth. On the back of the foot the papules have (coincidentally) merged into a coarse plaque with a spiny surface.
Tinea manuum:For a long time now, this large-area, temporarily itchy plaque, accentuating the edges of the forearm, has been present in the 42-year-old patient (no pre-treatment).
Porokeratosis superficialis disseminata actinica: disseminated, brownish-yellowish, sharply defined, hyperkeratotic nodules/plaques localized on the extensor sides; clear actinic damage to the skin with multiple lentigines.
Parapsoriasis en plaques, large: symptomless, well limited. disseminated stains and plaques. When the skin is wrinkled, a cigarette-paper-like pseudoatrophic architecture of the skin surface is visible (important diagnostic sign!).
Larva migrans: after a tropical beach holiday several weeks ago, at times clearly itchy, in places still linear, but also flat, solid, scaly plaques; now healing after local therapy.
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