Dermatosis, acute febrile neutrophils (Sweet syndrome): acutely occurring (existing since 1 week) highfebrile exanthema with involvement of the trunk, face and capillitium as well as the upper extremities. feeling of illness, myalgia, arthritis. high inflammation parameters. cause unknown (viral infection in combination with the intake of anti-inflammatory drugs?).
Dennie-Morgan infraorbital fold: Double eyelid crease on the lower lid as well as a rarefication of the lateral eyebrows (Hertoghe's sign: positive) in a 4-year-old boy with atopic eczema.
Mycosis fungoides tumor stage: Mycosis fungoides has been known for many years; continuous occurrence of plaques and nodules on the face and upper extremity for months; striking emphasis on the follicular structures.
Vascular (capillary) malformation (so-called naevus flammeus): Congenital, generalized, spotty erythema from the scalp to the sole of the foot in an 8-year-old boy, developed according to age.
DD: Rosacea erythematosus- here lupus pernio: 63-year-old female patient with reddish-livid plaque of the nose and previously known chronic pulmonary sarcoidosis.
Lupus erythematodes chronicus discoides : Solitary blurred plaque with atropical surface, adherent scaling, bizarrely configured scarring (bright areas); distinct painfulness in case of punctiform exposure (e.g. brushing over with fingernail); unpleasant burning sensation when exposed to UV light.
Melanoma, malignant, lentigo-maligna melanoma. deep black, irregularly limited, asymmetrical plaque in the facial region. on the right medial side an almost skin-coloured verruca seborrhoica.
Mastocytomas, cutaneous: moderately consistency-propagated, brownish-reddish, blurred, maculopapular plaques; the Darian sign is positive (development of a wheal after rubbing the efflorescence).
Lupus erythematosus, subacute-cutaneous, multiple, chronically dynamic, increasing, small or extensive red spots as well as red, small, sometimes rough, scaly papules and pustules on the face of a 66-year-old man. Furthermore, extensive, net-like branched telangiectasia can be found. DIF from lesional skin (see inlet; arrows indicate IgG deposits on the dermo-epidermal basement membrane zone and the follicular epithelium)
mucinosis(s). plaque-shaped, idiopathic, cutaneous mucinosis. red, rather sharply defined, cushion-like, smooth plaques in the face of a 42-year-old woman. similar efflorescences were observed in the breast area and on the back.
Chloasma gravidarum perstans: Chronic stationary, no longer increasing, smooth, brown spots located in the temporal region in a 29-year-old woman 14 months after delivery.
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