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.
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.
Airborne Contact Dermatitis: chronic (>6 weeks) extensive, enormously itchy and burning eczema with uniform infestation of the entire exposed facial area including the eyelids.
Lupus erythematodes chronicus discoides: dry-scaling, red, hyperesthetic, plaques with adherent scaling that have existed on both halves of the face for 5 years; no evidence of systemic LE. DIF with typical pattern.
Epidermolysis bullosa dystrophica dominans: 35-year-old female patient, with extensive scarring blister formation after banal traumas (e.g. under plasters, or under pressure). First manifestation in the first months of life. recurrent formation of basal cell carcinomas.
Atopic dermatitis:chronic, recurrent itchy red spots and slightly raised red plaques on the cheeks and forehead of an 8-month-old girl; multiple, disseminated, sometimes crusty scratch excoriations are also visible.
Systemic lupus erythematosus. symmetrical, scaly plaques existing for weeks; disturbance of general condition with medium-high fever, rheumatoid complaints. emphasis on light-exposed areas. 10-year-old girl.
Systemic lupus erythematosus: flat, localized, moderately sharply defined, symmetrical, moderately consistent, non-scaling red plaques; conspicuous protrusion of the follicles (see arrow and inlet)
lupus erythematodes chronicus discoides: 35-year-old otherwise healthy patient. skin lesions since 12 months, gradually increasing, no photosensitivity. multiple, chronically stationary, touch-sensitive, red, plaques with central adherent scaling. histology and DIF are typical for erythematodes. ANA and ENA were negative.
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