Basal cell carcinoma, nodular. solitary, 0.8 x 10.8 cm in size, broad-based, firm, painless papule, with a shiny, smooth parchment-like surface covered by ectatic, bizarre vessels. Note: There is no follicular structure on the surface of the papules.
AL-amyloidosis in smoldering myeloma. 77-year-old patient with recurrent ecchymosis of the periorbital region, clinically corresponding to a hematoma of the eyeglasses. These characteristic skin lesions are called "raccoon sign". Further purple skin lesions are found in the neck and retroauricularly. The bone marrow biopsy showed a smoldering myeloma (infiltration of plasma cells at 15%).
AL-amyloidosis in smoldering myeloma. 77-year-old patient with recurrent ecchymosis of the periorbital region, clinically corresponding to a hematoma of the eyeglasses. These characteristic skin lesions are called "raccoon sign". Further purple skin lesions are found in the neck and retroauricularly. The bone marrow biopsy showed a smoldering myeloma (infiltration of plasma cells at 15%).
Xanthelasma. 63-year-old patient with known hyperlipidemia. The existing skin lesion developed gradually within the last two years. 1.5 x 0.6 cm large, soft, yellow, fielded elevations with a smooth surface. No subjective symptoms.
Dermatomyositis, juvenile: Symmetrical "lilac-coloured eythema". feeling of illness with fatigue, inability to perform, muscle weakness. pronounced hypertrichosis due to therapy with Ciclosporin.
Atopic eyelid dermatitis: scaly and itchy dermatitis which is blurredly limited to all eyelids. seasonal course. known atopic disposition with type I sensitization (early blooming and grass pollen). eyelid cosmetics are not tolerated.
Seborrhoeic eyelid dermatitis: chronic recurrent, therapy-resistant dermatitis of the eyelids and the adjacent facial areas; the symptoms subside if the patient stays in climatically favoured regions.
Atopic dermatitis of the eyelid: chronic, recurrent bilateral dermatitis in known atopic diathesis, recurrent for years; severe, excruciating itching; recurrent morning swelling of the eyelids.
Herpes simplex infection: severe perirbital herpes simplex infection with secondary bacterial infection and numerous aberrant vesicles. herpetic infection of the lid margin. conjunctival injection.
Eyelid dermatitis atopic: brownishhyperpigmentation of the lower lid (more subtle on the upper lid) in a 32-year-old female patient with atopic eyelid dermatitis, who also reported severe itchy flexor eczema.
eyelid dermatitis atopic: recurrent, circumscribed itchy eczematous reaction in this 20-year-old patient with known atopic diathesis. contact allergy is (already clinically) unlikely because of the circumscribed, sharply defined plaque. DD: atpyically localized psoriasis .
Melkersson-Rosenthal syndrome (monsymptomatic form; here Blepharitis granulomatosa): initially recurrent, now permanent swelling of the left upper lid; no lingua plicata; no neurological symptoms.
lymphomatoid papulosis: previously known recurrent clinical picture in a 34-year-old female patient. rapid, painless knot formation within 14 days. this finding healed spontaneously with scarring under central necrosis after 3 months. no ectropion!
Lymphomatoid papulosis. 64-year-old patient with a history of 15 years. recurrent, intermittent course with formation of 4-10 painless nodules, which grow to the size shown here within a few days. rapid central ulceration. healing within 8-10 weeks leaving a sunken scar. recurrent secondary infections of the ulcerated nodules. previously known non-Hodgkin lymphoma in full remission.
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