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?).
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.
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.
Granuloma faciale: Red-brown, blurred and irregularly configured, symptomless plaque in a 52-year-old man. distinct follicular prominence. no known secondary diseases, no medication anmnesia. the finding has been present for several months and is slowly progressive. detailed picture of multiple plaques in the face.
lupus erythematodes tumidus: for 4 weeks existing, little symptomatic, succulent, bright red, surface smooth papules and plaques. probably occurred after UV exposure (correlation could not be clearly clarified). no hyperesthesia. ANA: 1:160; DNA-Ak negative; DIF: uncharacteristic. initiation of therapy with Resochin.
psoriasis vulgaris. seborrhoid psoriasis. large, flat, red, rough plaques with fine-lamellar scaling, localized by the centrofacial system, appearing in a 26-year-old woman. similar skin changes were found on the trunk and the extensor extremities. relapsing course of the disease since adolescence.
Basal cell carcinoma, destructive ulcer of the right temple of a 67-year-old woman, which has been growing slowly and progressively for several years and measures approx. 5 x 3.5 cm. The largely clean ulceration shows isolated fibrinous coatings and small crusts at the ulcer margins. The edge of the ulcer is bulging or rough, especially towards the lateral corner of the eye. Minor actinic keratoses on the forehead are also present.
Dyskeratosis follicularis: Large, hyperkeratotic zones existing since early childhood with reddish, partly macerated papules and firmly adhering, partly eroded, confluent keratoses on the capillitium of a 74-year-old woman.
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