keratosis pilaris syndrome. keratosis pilaris syndrome with ulerythema ophryogenes. small, follicularly bounded hyperkeratoses in the area of the lateral eyebrows, the forehead-hairline and in the cheek area. erythema in the area of the eyebrows with hair loss and without scaling. sometimes slight itching.
Nevus, melanocytic, congenital, since birth existing, chronically stationary, solitary, approx. 2.5 x 1.0 cm large, localized on the stretching side, scattered with dark papules, brown, rough, blurredly demarcated, symptomless spot in a 12-month-old girl.
Demodex folliculitis: chronic bilateral follicular dermatitis with extensive reddening. previously known rosacea. for months, however, unexpected significant worsening of the findings. S following figure.
Verrucae planae juveniles: Single polygonal, yellowish papules the size of a pinhead on the left forehead of a 10-year-old girl which have been added (inoculation) for weeks.
Cylindrome. 72-year-old female patient with familial multiple Cylindromas (Brooke-Spiegler syndrome). Differently large aggregated papules interspersed with telangiectasias and smooth nodules in the region of the temple.
lupus erythematodes chronicus discoides: 25-year-old otherwise healthy patient. variable now discrete skin lesions; for 12 months. only low photosensitivity. multiple, touch-sensitive, red, plaques. histology and DIF are typical for erythematodes, ANA and ENA negative.
mononucleosis, infectious. swallowing difficulties for 5-6 days; fever > 39 °C. generalized, non-itchy exanthema for 1 day. painful regional lymph nodes (neck, throat). little itchy, urticarial, small spots, confluent exanthema in places with clear accentuation of the face. no enanthema! paul bunnel reaction positive. IgG antibodies against epstein-barr virus, fourfold increase in titer every 10-14 days. detection of epstein-barr virus dna via PCR is positive.
Detailed view: The diagnosis "pigmented basal cell carcinoma" is visible at the left margin, where the spatter-like hyperpigmentation is found (accumulation of melanin clods in the tumor parenchyma, caused by the "accompanying proliferation" of melanocytes). At the upper pole local tumor decay and ulceration.
Angiosarcoma of the head and facial skin. slow, chronic progression without subjective complaints. initially contusiform, blue-red discolored skin, later angiomatous nodules and the development of multiple satellite metastases.
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