acrodermatitis papulosa eruptiva infantilis. exanthema of a few days old on the face, on the trunk (very discreet) and the extremities. disseminated, 0.2-0.4 cm large, red to reddish-brown papules with smooth surface. on the earlobe flat, succulent erythema with several, in places aggregated, rich red papules and vesicles.
Chloasma. bilateral, chronically stationary, more than 3 months old, blurred, formerly occasionally itching, now symptom-free, brown, smooth spots Occurrence of skin changes after application of photosensitizing eyelid cosmetics during a holiday stay in Southern Europe (Chloasma cosmeticum).
Granuloma eosinophilicum faciei (Granuloma faciale): Unusual, flat, completely asymptomatic, existing for 2-3 years, slowly increasing in size, jagged, limited red plaque with central (artificial?) erosion and scaly crust formation; for course see following figure.
erysipelas. flaming, centrofacially accentuated erythema with overheating and with severe lid edema. reduced general condition, chills, fever, swelling of the regional lymph nodes.
Lupus erythematodes chronicus discoides: dry-scaling, red, hyperesthetic, plaques with adherent scaling that have existed on both halves of the face for 5 years; no evidence of systemic LE. DIF with typical pattern.
Lupus erythematodes chronicus discoides:cutaneous chronic lupus erythematosus. years of course with circumscribed red scarring plaques (circle - with whitish atrophic area without follicular structure): arrow: dermal melanocytic nevus.
Lupus erythematodes chronicus discoides: succulent, hyperesthetic plaque with adherent scaling, 2.7x3.2 cm in size, existing for 4 months, no evidence of systemic LE. DIF with typical pattern.
Granuloma anulare perforans: Presence of a disseminated granuloma anulare with multiple shiny papules, some of which show central ulceration (see inlet).
Dermatitis chronic actinic (type actinic reticuloid): Large-area, severe itching, eczematous clinical picture of the face, which appeared in spring after a short UV exposure and now persisted for several months. Massive lichenification of the skin (see radial lip furrows) as an expression of the chronic inflammatory remodelling of the thickened skin.
Acne infantum. multiple, chronically active, localized on cheeks and forehead, disseminated, firm, moderately painful, red follicular papules. combination with pustules and red atrophy.
Epidermolysis bullosa dystrophica dominans: 35-year-old female patient, with extensive scarring blister formation after banal traumas (e.g. under plasters, or under pressure). First manifestation in the first months of life. recurrent formation of basal cell carcinomas.
dermatitis, adult seborrhoeic: partly small spots, partly blurred erythema with small lamellar scaly deposits. slight feeling of tension. no significant itching. skin changes have existed for years to varying degrees. in summer, clearly improved or completely disappeared.
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