Sarcoidosis: small nodular disseminated sarcoidosis of the skin. lung involvement. resistance to therapy, progressive since 1 year. known atopic eczema. findings: multiple reddish-brownish papules and plaques.
Lentigo solaris: brown, sharply bordered, smooth spot in the area of exposed skin areas (Lentigo solaris). 31-year-old, fair-skinned patient with intensive UV exposure during the past years of life. 1.8 x 1.8 cm measuring, sharply bordered, light brown spot with smooth surface.
Rosacea papulopustulosa: disseminated, intermittent papules and pustules that persist for weeks on reddened skin (questionable pretreatment with a glucocorticoid externum); variable feeling of tension of the facial skin.
dermatitis chronic actinic: severe extensive, permanently itchy eczema reaction of the entire face with intensification of the eyelid regions. the changes were significantly improved in the winter months, but recur with low UV irradiation (going shopping). in the meantime, normal daylight must also be avoided.
Lupus erythematodes chronicus discoides. 15 years of persistent and, despite disease-adapted therapy measures, constantly progressive skin changes in a 64-year-old patient. Large scar plate with marginal and intralesional erythema as well as isolated flat ulcers (currently covered with crust).
naevus verrucosus. already present at birth, bizarrely swirled, linear and flat, yellow-brown, verrucous PLaques. at birth the changes were only schematically indicated. increasingly prominent in the last two years. no subjective symptomatology.
Argyrie: diffuse, grey to greyish-blackish, metallically shiny, diffuse discolouration of the facial skin due to deposition of silver complexes The patient worked for decades in a silver-processing company
Sebaceous gland hyperplasia, senile. 0.5 cm large, yellowish-brownish, surface indented, shiny papules, sharply defined, symptom-free, existing for at least 2 years.
Fistula, odontogenic. initially diffuse, later described redness as well as swelling, fluctuation, pain under pressure and spontaneous pain. several weeks later persistence of an inflammatory, slightly painful nodule which does not move on the underlying tissue and whose centre is surrounded by reddish granulation tissue. on pressure evacuation of serous fluid.
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