Mixed connective tissue disease. hyperkeratoticnail folds with elongated capillaries and focal haemorrhages. Note the splatter-like scars on the back of the fingers as well as the expression of focal, now healed scarred, cutaneous vascular occlusions.
dermatomyositis: reflected light microscopy. hyperkeratotic nail folds. pathologically enlarged and torqued capillaries. older bleeding into the nail fold.
Dermatomyositis. 72 year old patient with dermatomyositis known for 1 year. striped red, scaly papules and plaques over the base of the fingers. deep red, painful and slightly scaly plaques on the end phalanges, also directly periungual. distinct hyperkeratotic nail folds.
Chilblain lupus. early stage with livid-red, smooth, painful plaques. clinical picture reminiscent of chilblain (frostbite lupus). acrocyanosis still moderately pronounced.
Dermatomyositis, malignoma-associated erythema in the area of the distal back of the hand and the sides of the fingers (= Gottron-signs) in a 67-year-old patient with bronchial carcinoma.
Hand-Foot-Mouth Disease: since about 1 week, painful, blisters, pustules and papules on hands and feet; about 2 weeks before, unspecific flu-like prodromas.
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+.
Dermatomyositis (overview): Striped arrangement of red papules and plaques, which confluent to flat areas in the area of the end phalanges; strongly pronounced nail fold capillaries.
dermatomyositis: reflected light microscopy. hyperkeratotic nail folds. pathologically increased and enlarged torqued capillaries. older bleeding into the nail fold.
Dermatomyositis. Gottron papules in a 72-year-old woman. Smaller, striated, reddish-livid papules appear, which confluent in the region of the end phalanges to form flat plaques. Strongly pronounced nail fold capillaries on dig. III and V. The Keining sign was strongly positive in the clinical examination.
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