Scleromyxedema. 52-year-old patient shows a diffuse thickening and discreet reddening of the facial skin. Especially in the area of the glabella there is a bulging overlapping thickening of the skin folds.
Juvenile xanthogranuloma: with fresh consent from: Pajaziti L et al (2014) Juvenile xanthogranuloma a case report and review of the literature BMC Res Notes 7: 174
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?).
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.
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.
rosacea papulopustulosa: centrofacially localized redness, inflammatory papules and pustules. infestation of the eyelids. recurrent keratoconjunctivitis.
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.
dermatomyositis. flat, red-livid spots on the face of a 55-year-old woman with periorbital and perinasal accentuation. tired facial expression. general fatigue, muscle weakness and weight loss with underlying tumor disease. redness of the back of the fingers, megacapillaries in the capillary microscopy of the nail fold capillaries.
Lymphoma, cutaneous B-cell lymphoma. 8 months of slow growth, livid-red, flat, coarse nodule with a smooth surface. Follicular structures are only detectable at the edge of the nodule. 71-year-old patient.
rosacea erythematosa: extensive and even redness of both cheeks. alternate course of redness. intensification with slight swelling due to cold/warm change or after alcohol consumption.
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.
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