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!).
tinea unguium: black dyschromia of the nail plate localized at the left big toe of a 52-year-old man, increasing for more than one year. border zone to the healthy nail plate marked proximally by a horizontal arrow. cuticle not discolored (vertical arrows: speaks against a melanocytic tumor). nail plate itself is discolored (see anterior incision margin marked by a star). Trichophyton rubrum and Aspergillus spp. have been culturally proven.
Acanthosis nigricans maligna: asymptomatic brown coloration of the skin and hyperkeratosis in the left neck, décolleté and shoulder blade region existing for about 3-4 months in a 66-year-old patient with non-Hodgkin's lymphoma.
Urticaria pigmentosa (overview): Adult form of Urticaria pigmentosa (erythroderma). With a history of many years, continuous increase in spot density. The inlet shows the confluence of numerous red spots.
Fingertip necrosis:sudden, painful necrosis of digitus II in a 51-year-old female patient with Z.n. malignant melanoma, swelling and reddening of the distal skin of the finger after the start of therapy with hydroxycarbamide infusions.
Urticaria pigmentosa: same patient as before. 4 years later.Differently sized, disseminated, flat, oval or round, brownish-red spots on trunk, buttocks and thighs; 52-year-old female patient. Continuous proliferation of spots for years. No evidence of systemic infestation.
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