Acrodermatitis chronica atrophicans. clearly visible, flabby skin atrophy and edematous redness on the right foot in a serologically proven infection with borrelia. the comparison to the left leg shows the clear difference. the patient spends several months in the black forest every summer.
Lymphedema secondary: diffuse, uniform swelling of the right lower extremity with papillomatosis cutis lymphostatica. Known CVI. If the patient stands for a longer period of time the swelling increases significantly.
Drug reaction, fixed (detail). two red, sharply defined, moderately itchy plaques, existing for a few days. the peripheral areas are lighter in colour, tendency to blistering in the centre. irregular intake of headache medication known and admitted.
Dermatitis contact allergic: Chronic recurrent, massively itching, disseminated red papules and papulo vesicles confluent to blurred plaques. maceration of the 4th CRC. The skin lesions were caused by application of a cream containing gentamicin.
Artifacts: Multiple weeping ulcers without apparent reason, non-itching flat ulcers up to 3.0 cm in diameter in an otherwise completely healthy patient.
Necrobiosis lipoidica: Necrobiosis lipoidica that has existed for several years. Large, atrophic scarring (translucent vessels) in the centre. Reddened progression zone at the edges.
Necrobiosis lipoidica: bilateral, gradually increasing, sharply defined, confluent, reddish-brownish, centrally distinctly atrophic plaques that have existed for about 2 years, increasing in consistency over the entire plaque.
Pityriasis lichenoides et varioliformis acuta: acutely occurring "colorful" exanthema with differently sized papules measuring 0.2-0.8 cm, erosions, and encrusted ulcers.
Livedo reticularis: Thigh of a 24-year-old woman after sauna with cold shower; additional findings: Cicatrix after excision of a nevus cell nevus in the middle of the thigh.
Lymphedema, type Nonne-Milroy. detailed enlargement of the left foot: edematous swelling of the back of the toes with transverse skin folds over the metatarsophalangeal joints (positive Malleus sign).
Pyoderma gangraenosum. Continuously progressive, multiple, small, very pressure-painful, smeary-coated ulcers on the left lateral margin of the foot and two sides of the toes in a 71-year-old female patient with a plasmocytoma. The periulcerous surroundings show bluish-brownish streaks.
Lymphomatoid papulosis: chronic, relapsing, completely asymptomatic clinical picture with multiple, 0.3 - 1.2 cm large, flat, scaly papules and nodules as well as ulcers. 35-year-old, otherwise healthy man
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