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.
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).
Squamous cell carcinoma of the skin: carcinoma of the nail bed, which was misjudged as a fungal disease of the toenail and whose infiltrating growth had led to an almost complete onychodystrophy.
dermatomyositis: reflected light microscopy. hyperkeratotic nail folds. pathologically enlarged and torqued capillaries. older bleeding into the nail fold.
Lupus erythematosus systemic (late onset) characteristic "collagenosis hands" with persistent, acaral accentuated livid-red plaques, hypercratic nail fold and small hemorrhages. 83-year-old patient with known (since several years proven) systemic lupus erythematosus.
Nail psoriasis: unspecific nail dystrophy (which is also found in this way in chronic hand dermatitis), caused by paronychial infestation of the thumbs.
Squamous cell carcinoma of the skin: carcinoma of the nail bed that has been present for several months (?), is mistaken for a fungal disease of the fingernail and is painful under pressure; onychodystrophy.
Acrodermatitis continua suppurativa:pronounced sterile-pustular, acral dermatitis with extensive destruction of the nails; the huat alterations are combined with severe arthritis psoriatica.
Tinea manuum, impetiginierte: plaque on the back of the hand and forefinger that has existed for several months, accentuated at the edges, coarse lamellar scaling on the back of the hand and forefinger.moderate itching. increased weeping scaling in recent weeks. cultural evidence of Trichophyton rubrum.
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.
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