Drug reaction, fixed: unusual image of a 3.5 x 2.5 cm measuring, crusty covered, flat ulcer on the lower leg of a 38-year-old patient as a result of repeated use of non-steroidal anti-inflammatory drugs; the reddish discolored periulcerous area and the blue-violet discoloration of the necroses result from the topical application of methylrosanilinium chloride during external therapy.
Purpura pigmentosa progressiva: etiologically unexplained (medication?) pronounced clinical picture that has been changing for several months with symmetrically distributed, disseminated, non-itching, yellow-brown, spots.
Circumscribed scleroderma. Atrophy of the right leg muscles, atrophy of the gluteal muscles on the right, shortening of the right leg (difference 2.0 cm) with consecutive secondary pelvic obliquity and scoliosis in a 19-year-old female patient. Multiple white indurated plaques on the right leg are also present on the thighs, lower legs and in the foot area.
Ulcus cruris arteriosum: chronic, slowly progressive, painful, deep, sharp-edged ulcer located in the area of the lower leg clitoris, measuring approx. 5.5 x 3.5 cm. The periulcerous area is reddened and overheated. The patient suffers from a PAVK of the multi-level type and has been a heavy cigarette smoker for 30 years.
Contact dermatitis allergic: chronically recurrent, massively itching, disseminated red papules and papulo vesicles confluent to blurred plaques. maceration of the 4th CCC. The skin lesions were caused by application of a gentamicin-containing cream.
Lichen planus verrucosus: a hypertrophic lichen planus with pseudoepitheliomatous epithelial hypertrophy and scarring that has been present for several years.
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