ILVEN: Since early childhood conspicuous, elongated to triangular configured papulokeratotic inflammatory skin change on the right cheek of a 14-year-old female patient.
Lupus erythematosus systemic: persistent, blurred, red, butterfly-like distributed spots in the right cheek area of a 27-year-old female patient with SLE known for years.
psoriasis capitis. 44-year-old man. chronically inpatient, intermittently increasing, extensive, red, rough plaques with coarse lamellar scaly deposits on the forehead, capillitium. characteristic of the diagnosis "psoriasis" is the spread of the foci from the hairy head above the forehead hairline to the forehead areas. DD: seborrhoeic eczema.
Xanthogranuloma, necrobiotic with paraproteinemia. 62-year-old female patient shows several clearly infiltrated plaques in the periorbital region, interspersed with yellowish-brown nodular parts.
Granuloma eosinophilicum faciei (Granuloma faciale). 6-month-old finding in a 7-year-old child. Slightly raised, moderately coarse, brown-red plaques with dilated follicle ostia. No other complaints. Brown-reddish infiltrate of the patient's own body under glass spatula pressure.
tinea faciei. itchy and moderately painful, livid-reddish, rough, scaly plaque with intact or burst pustules on the surface. on pressure discharge of pus. patient has received 15mg methotrexate p.o. for several years because of polyarthritis. the present finding can also be called granuloma trichophyticum (majocchi).
Rosacea papulopustulosa: disseminated, intermittent papules and pustules that persist for weeks on reddened skin (questionable pretreatment with a glucocorticoid externum); variable feeling of tension of the facial skin.
Fistula, odontogenic. initially diffuse, later described redness as well as swelling, fluctuation, pain under pressure and spontaneous pain. several weeks later persistence of an inflammatory, slightly painful nodule which does not move on the underlying tissue and whose centre is surrounded by reddish granulation tissue. on pressure evacuation of serous fluid.
Impetigo contagiosa: acutely occurring, persistent for 5 weeks, increasing despite external therapy, localized in the face of an 18-month-old boy, red, erosive, rough papules and plaques, partly covered with yellow crusts; similar skin lesions are visible on the trunk and on all extremities
contact dermatitis: blurred eczema plaque on upper and lower eyelid. distinct lichenification with fine-lamellar scaling. crust formation at the inner eyelid angle. permanent, tormenting itching. evidence of sensitization against various eyelid cosmetics.
erysipelas. flaming, centrofacially accentuated erythema with overheating and with severe lid edema. reduced general condition, chills, fever, swelling of the regional lymph nodes.
Granuloma anulare perforans: Presence of a disseminated granuloma anulare with multiple shiny papules, some of which show central ulceration (see inlet).
Dermatitis chronic actinic (type actinic reticuloid): Large-area, severe itching, eczematous clinical picture of the face, which appeared in spring after a short UV exposure and now persisted for several months. Massive lichenification of the skin (see radial lip furrows) as an expression of the chronic inflammatory remodelling of the thickened skin.
Acne infantum. multiple, chronically active, localized on cheeks and forehead, disseminated, firm, moderately painful, red follicular papules. combination with pustules and red atrophy.
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