Verrucae vulgares (detailed picture): flat wart bed with subungual infiltration. This constellation results in considerable therapeutic complications. It is important to exclude a verrucous carcinoma.
Adenoma sebaceum: in the 65-year-old female patient, skin-coloured to reddish-brownish, densely packed papules and plaques with centrofacial accentuation have existed since childhood; the misleading term "Adenoma sebaceum" refers to the characteristic centrofacially localised angiofibromas occurring in the context of tuberous sclerosis complex (Pringle-Bourneville phacomatosis).
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).
Eczema atopic: severe, generalized, severely itchy atopic eczema existing since earliest childhood with disseminated, eroded and ulcerated (scratched) reddish papules and plaques; the "dryness of the integument" with keratosis pilaris-like accentuation of the follicles is clearly visible.
Acne keloidalis nuchae, detail magnification: In the center a wide scar plate with a linear course to the left and right side (condition after several excisions) with papules and nodules localized at the margins.
Verrucae vulgares: solitary but also densely standing, to beds aggregated, hemispherical, 0.2-0.8 cm large, coarse, mostly skin-coloured or grey-yellowish papules or nodules with fissured, hyperkeratotic-verrucous surface.
Verrucae vulgares: solitary and beet-like aggregated, papules and plaques with fissured, hyperkeratotic-verrucous surface; generalized wart formation with long-term, high-dose immunosuppression.
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