mixed connective tissue disease: 53-year-old female patient. known for several years raynaud syndrome. episodes have become more frequent in recent months. for about 3 months, increasing fatigue, lack of drive and strength, joint pain intensified in the morning, swelling of the hands and fingers (sausage fingers). ANA: 1.1280; U1RNP antibodies+.
chronic paronychia: paronychia existing for months, with massive onychodystrophy. only slight painfulness. candida albicans was detected several times.
Impetigo contagiosa. red, erosive, rough, partly crust-covered plaque with rhagades and scaly crusts, persistent for several weeks, resistant to therapy. evidence of Staphylococcus aureus.
Psoriasis palmaris et plantaris (plaque type): A minus variant with affection of the acral thumb area, forming deep and painful (therapy-resistant) rhagades.
chronic paronychia: moderately painful paronychia existing for months. nail fold reddened and swollen. from time to time a purulent secretion empties under pressure. cuticles completely missing.
Scabies in a 3-year-old boy: since several months existing, massively itching, generalized clinical picture, with disseminated scaly papules and plaques. here, infestation of the palms. detailed view.
Verrucae vulgares. up to 0.6 cm in size, skin-coloured to yellowish, aggregated to a wart bed, rough papules and nodules with a verrucous surface. Vitiligo known for a long time.
Thrombangiitis obliterans: 48-year-old female patient; decades of nicotine abuse. 12 months of acrozynosis (even more severe in cool surroundings) and mummified fingertip necrosis with osteolysis.
Squamous cell carcinoma of the skin: a slow-growing, wart-like, encrusted nodule that has existed for about 2 years and has been painful in the last few weeks, which was treated several times as a "subungual viral wart".
Raynaud's phenomenon:Raynaud's syndrome known for several years. No indication of systemic scleroderma. Here condition after Raynaud's attack with massive blue discoloration of the fingers.
Acrodermatitis continua suppurativa: chronic, recurrent, sterile pustular disease of the acromion, which leads to atrophy and loss of nails if it occurs repeatedly and persists for a long time (see figure).
Xanthogranuloma juveniles (sensu strictu). softly elastic, yellowish, completely asymptomatic, hardly elevated plaques with slightly coarsened surface relief. no Darier sign! 10-month-old female infant with multiple xanthogranulomas. size growth in the first months of life.
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