Lupus erythematodes chronicus discoides: CDLE leading to distinct mutilations. atrophy of skin and nasal cartilage. in the left cheek area extensive, in places deeply sunken (atrophy of the subcutaneous fatty tissue) scar with marginal (arrows) inflammatory activity
DD: Rosacea erythematosa (in this case systemic lupus erythematosus): butterfly-like, symmetrical, variable redness and swelling of both cheek areas, excluding the perioral region.
Mixed connective tissue disease, swelling and diffuse redness of the eyelids, perioral pallor; extensive erythema of the neck and décolleté, tired facial expression, detection of U1-nRNP antibodies.
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.
Zoster ophthalmicus: since 6 days increasing, left-sided headache with accompanying feeling of illness. since 3 days redness and swelling of the skin with stabbing, shooting pain. extensive erythema, blisters, scaly crusts and swelling
dermatitis chronic actinic: severe extensive, permanently itchy eczema reaction of the entire face with intensification of the eyelid regions. the changes were significantly improved in the winter months, but recur with low UV irradiation (going shopping). in the meantime, normal daylight must also be avoided.
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