Typical - butterfly pattern - with free perioral triangle. Bridge of nose, lips (chronic cheilitis) are also affected. Furthermore: Raynaud's phenomenon; disturbance of the AZ, arthralgia.
lupus erythematodes chronicus discoides: 18-year-old otherwise healthy patient. skin lesions since 12 months, gradually increasing, no photosensitivity. disseminated, chronic, touch-sensitive, red , differently sized plaques with rather discrete scaling. histology and DIF are typical for erythematodes. no positive ANA and ENA.
Ulerythema ophryogenes. scarring keratosis follicularis of the face with infestation of the eyebrows and cheeks of the child. primarily noticeable is the permanent (not itchy) extensive redness, which is sharply marked in the eyebrow area, but less in the cheek area. the patients do not perceive the process as a disease process but as cosmetically disturbing.
Lupus erythematosus acute-cutaneous: symmetric red spots, patches and plaques on the face, neck and upper trunk, existing for several weeks; lateral image.
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.
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