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.
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).
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.
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.
psoriasis seborrhoeic type: recurrent, location-constant and therapy-resistant "seborrhiasis" for several years. no like for atopic disease. extensive infestation of face and capillitium. itching and feeling of tension. note: in case of such an extensive infestation a systemic therapy is recommended (e.g. MTX, alternatively Fumarate).
Erysipelas. acutely appeared, blurred, laminar redness and swelling, on the right side nasal and paranasal in a 64-year-old woman; accompanied by a slight temperature rise and chills.
Eczema, atopic. chronic, recurrent, itchy red spots and slightly raised red plaques on the cheeks and forehead of an 8-month-old girl; multiple, disseminated, partly crusty scratch excoriations are also visible.
lupus erythematodes chronicus discoides: already longstanding, blurred, red, butterfly-shaped red plaques. delicate scarring beginning at the bridge of the nose. no systemic autoimmune phenomena.
Airborne Contact Dermatitis (course of therapy): The 54-year-old florist noticed an increasing itching and burning of the entire facial skin, the back of the hands and wrists during a "normal" working day at lunchtime. In the evening hours, the entire facial skin was reddened over the entire surface, swollen and itching severely, so that the emergency medical service had to be consulted.
lupus erythematosus acute-cutaneous: symmetrical red spots, patches and plaques on the face, neck and upper trunk areas, which have been present for several weeks. typical is the perioral recess. note: lip lesion corresponds to a herpes simplex lesion.
Dermatitis chronic actinic (type light-provoked atopic eczema). general view: Disseminated, scratched papules and plaques, nodular in places, as well as blurred, large-area, reddened, severely itching erythema on the face of a 51-year-old female patient with atopic eczema existing since birth. the skin changes can be provoked by sunlight and photopatch testing.
Dermatitis, seborrheic: Chronic, therapy-resistant, psoriasiform seborrheic eczema in a 63-year-old patient; no other clinical evidence of psoriasis vulgaris.
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