Tinea faciei: 7 weeks before, a petting zoo was visited. large-area, circulatory rim-emphasized, moderately itchy (pre-treatment with glucocorticoids) plaques. detection of Tr. mentagrophytes.
Lupus erythematodes chronicus discoides. 15 years of persistent and, despite disease-adapted therapy measures, constantly progressive skin changes in a 64-year-old patient. Large scar plate with marginal and intralesional erythema as well as isolated flat ulcers (currently covered with crust).
Mycosis fungoides follikulotrope: generalised clinical picture; smooth plaques that dissect at the edges, with clear evidence of follicular involvement.
Airborne Contact dermatitis: chronic (>6 weeks) extensive, enormously itching and burning eczema with uniform infestation of the entire exposed facial area including the eyelids.
Lupus erythematodes chronicus discoides: succulent, hyperesthetic plaque with adherent scaling, 2.7x3.2 cm in size, existing for 4 months, no evidence of systemic LE. DIF with typical pattern.
dermatitis, adult seborrhoeic: partly small spots, partly blurred erythema with small lamellar scaly deposits. slight feeling of tension. no significant itching. skin changes have existed for years to varying degrees. in summer, clearly improved or completely disappeared.
psoriasis vulgaris. localized psoriasis. no further foci! chronic dynamic, red, rough plaque covering the entire left orbital region. in addition, in the 60-year-old woman, discrete, red, slightly scaly plaques have existed for several years on the elbows, knees, sacral region, rima ani, scalp and ears (retroauricular accentuation).
AIN. Anal dysplasia. Large, hyperkeratotic area with smaller satellite lesions. The surface is granular and shows different areas of keratinization. Histologically, there was a grade 2 intraepithelial neoplasia.
Tinea barbae. scaly, blurred, itchy erythema (incipient plaques) on the cheek and upper lip. erythema areas are sparsely interspersed with follicular papules and pustules.
Psoriasis seborrhoeic type: for several months constant and therapy-resistant, only slightly elevated, homogeneously filled, symmetrical, red-yellow, slightly accentuated plaques, no type I allergies detectable.
Dermatitis chronic actinic: Chronic laminar eczema reaction which is essentially limited to the exposed skin areas Typical of chronic actinic dermatitis and thus distinguishable from a toxic light reaction (type acute solar dermatitis) is the blurred transition (eczematous scattering reactions) from lesional to healthy skin.
Acne vulgaris (overview): severe clinical picture with inflammatory papules, papulo-pustules and pustules in a 17-year-old patient; increasing course of the disease since 2 years. extensive scarring beginning in the central cheek area. picture of acne vulgaris (type: acne papulo-pustulosa, grade IV). classic indication for systemic isotretinoin therapy!
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