Fibroma molle: a harmless, symptomless "tumour" which has been known for many years and has remained unchanged without any symptoms; the presence of a completely fibromatically transformed dermal melanocytic nevus cannot be excluded.
elastosis actinica. deep rhomboid wrinkles, with bulging skin relief, with pale yellowish skin discoloration. yellowish infiltrates can be detected when the skin is tightened. at the right edge of the picture brownish skin discoloration (lentigines seniles).
Dermatitis, seborrhoeic: Multiple, chronically stationary, centrofacially localized (also on eyebrows and in the beard area), almost symmetrical, blurred, at times slightly itchy, red, rough, finely scaled spots and plaques on the face of a 32-year-old HIV-infected person.
angioma, senile. 7 mm large lump on the cheek of a 70-year-old patient, existing for years, reddish-brown, very soft, almost completely compressible by finger pressure. skin clearly light-damaged; above left numerous linear telangiectasias. therapy not necessary; if necessary excision without safety distance.
Granuloma eosinophilicum faciei: Very discreet, symptom-free, flat plaque that has existed at this site for 0.5 years. 42 years of otherwise healthy male.
Lymphomatoid papulosis: Previous recurrent clinical picture in a 34-year-old female patient. Rapid, painless formation of a flat, surface-smooth papule, which developed within 3 weeks into a 2.0 cm large lump, which healed scarred within 3 months after extensive ulceration.
Leprosy lepromatosa: advanced findings with numerous, almost symmetrically distributed, asymptomatic papules and nodules, no accompanying inflammatory reaction.
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.
Tinea faciei. multiple, chronically active, since 4 weeks flatly growing, disseminated, 0.5-3.0 cm large, blurred, itchy, red, rough (scaling) papules and plaques as well as few yellowish crusts
Rosacea. stage II rosacea (rosacea papulopustulosa) Detail enlargement: Multiple, individually or grouped standing inflammatory papules, pustules and papulopustules as well as flat, red spots on the forehead and cheek area of a 62-year-old patient
Small papular type of Mullusca contagiosa: focal sowing of small papular skin-coloured, smooth efflorescences reminiscent of verrucae planae juveniles; isomorphic irritant effect detectable.
Demodex folliculitis: chronic bilateral follicular dermatitis with extensive reddening. Previous rosacea, but for months an unexpected significant worsening of the findings.
Lichen planus actinicus: anularsmaller lesions and merged into larger map-like borderline plaques; in the prominent borderline area the violet shade of lichen "ruber" is found.
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