Dermatoliposclerosis. 64-year-old female patient with known CVI. For years increasing hardening of the distal and middle US third (so-called bottle bone). Extensive hyperpigmentation of the skin with coarse increase in consistency.
Dermatitis, hypereosinophilic: generalized, partly papular, partly plaque-like, considerably itchy exanthema with disseminated, 0.3-1.5 cm large, red, papules which have merged into plaques in the middle of the thigh.
Purpura, thrombocytopenic: colorful picture with fresh, punctiform, red bleedings as well as older, yellowish, hemosiderotic inclusions (see following figure)
Pityriasis lichenoides chronica: 16-year-old, otherwise healthy patient, with a polymorphic papular exanthema on the trunk and extremities, which has been present for several months and is intermittent. no itching. no other symptoms. the lesions heal with a delicate depigmented scar.
erysipelas. solitary, acutely occurring, extensive, sharply defined, red plaque and bulging blisters with serous content in the area of the lower leg. in this case, the entry portal was a macerated tinea pedum. fever and chills, lymphangitis and lymphadenitis also exist.
sarcoidosis: subcutaneously knotty form of sarcoidosis. recurrent course for several years. development of slightly pressure-painful nodules in the subcutaneous fatty tissue. known lung sarcoidosis stage II. skin findings: subcutaneously located, bulging nodules and plates, which can be clearly distinguished from the surrounding area and can be moved on the support. the skin above is partly reddened (see figure), partly unchanged.
Lichen planus. chronically active, multiple, disseminated or confluent, increasing, first appearing about 6 months ago, mainly localized at the outer edge and back of the foot, 0.3-0.6 cm large, itchy, red, smooth, shiny papules in a 46-year-old woman. Furthermore, a whitish, reticular pattern of the buccal mucosa of the mouth was visible.
psoriasis palmaris et plantaris (pustular type): extensive erythema of the entire palm. sharply limited towards the wrist. mixed type with numerous pustules and dyshidrotic vesicles. coarse lamellar desquamation.
Acroangiodermatitis. several brownish reddish, blurred plaques confluent to a large area in a 39-year-old man with CVI grade II according to Widmer. condition after phlebothrombosis 5 years ago (US fracture). marginal area see detail.
Pronounced livedo racemosa: with a clinical course over 8 years. Extremely painful red, reticular plaques, especially at temperature change, in a 43-year-old, otherwise healthy patient. Initial findings.
Necrobiosis lipoidica. necrobiosis lipoidica slowly "growing" for several years. large, rather discrete scarring in the centre. yellow-brownish plaque at the edges.
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