Acrodermatitis chronica atrophicans. cigarette-paper-like wrinkles on the edematous swollen, flat erythematous right foot. a broad erythematous stripe ran along the tibia. the patient reported pain and instability while walking, but a neuroborelliosis was excluded.
Vegetative pyoderma of the back of the foot in the case of a previously known, long-standing venous leg ulcer; smearily coated wound bed, blurred edges.
Dyshidrotic dermatitis: chronic recurrent hyperkeratotic dermatitis of the hands and feet. recurrent episodes with itchy blisters. no signs of atopy. no contact allergy
Klippel-Trénaunay syndrome: extensive, bilateral vascular malformation of capillary (naevus flammeus) and venous vessels (varicosis with chronic venous insufficiency - CVI); distinct soft tissue hypertrophy on the left side; no pelvic obliquity!
Necrobiosis lipoidica: Necrobiosis lipoidica, which has existed for several years in previously known diabetes mellitus, scarred healing with atrophy of the skin and subcutaneous fatty tissue.
Haemangioma of the infant. asymptomatic, soft, deep red, rough, rough, flat plaque on the right foot of an infant which grows slowly within the first weeks and months of life. whitish or skin-coloured areas already appear within the not completely homogeneous plaque (beginning regression).
Lichen planus verrucosus. multiple, chronically stationary, unchanged for months, very itchy, up to palm-sized, rough, brownish or brownish-red, verrucous plaques in the area of buttocks and thighs. highly chronic course.
Pronounced livedo racemosa: Intermediate findings after 2 more years (period of clinical follow-up over a period of 8 years); few lesions with very painful central necroses.
Lichen planus exanthematicus. for 2 months persistent, itchy, generalized, dense itchy rash with emphasis on trunk and extremities (face not affected). on the cheek mucosa there are pinhead-sized whitish papules.
Mycosis fungoides follikulotrope: generalised clinical picture; smooth plaques that dissect at the edges, with clear follicular involvement. Moderate itching.
Lichen planus verrucosus. highly itchy,verrucous plaque on the left back of the foot, which has remained unchanged for years. a red-violet seam is visible in all parts of the plaques.
Angiokeratoma circumscriptum: Vascular (venous) malformation of the skin (and subcutis) with circumscribed, aggregated moderately firm, blue-grey verrucous, painless plaques and nodules; varicosis of the surrounding area.
Lichen (ruber) planus ulcerosus: extensive infestation of the feet with verrucous and crusty deposits and therapy-resistant deep ulcers with rough edges.
Brucellosis. the skin changes were preceded by a prodromal stage with undulating pyrexia and uncharacteristic flu-like symptoms (headache and aching limbs). in this detailed picture, the different stages of development of the efflorescences are shown.
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