flexural atopic eczema. skin changes in an 18-year-old girl with intermittent course since the age of 4 years. positive FA; EA: pollinosis known. in the area of the hollow of the knee blurred, reddened, little scaly, moderately itchy plaques. skin field coarsened (lichenification). classic finding of flexural eczema.
Livedo racemosa: irregular, bizarre, not closed circular segments (ankle region), as pioneering morphological indicators for livedo racemosa; for several months now therapy-resistant, schematic deep ulcers.
Ulcus cruris venosum. deep, punched out ulcer on the lower leg in CVI. the edges are macerated whitish in places. there is a film of zinc paste in the surrounding area.
Botryomycosis. less spectacular clinical findings. circumscribed, less painful area with pustules, nodules and extensive induration. the diagnosis was histologically confirmed by evidence of a deep granulomatous inflammation with abscesses and the presence of eosinophilic granules, the so-called Splendore-Hoeppli phenomenon.
Acrodermatitis chronica atrophicans. 78-year-old female patient with confirmed neuroborreliosis 6 years ago and still positive Borrelia serology. Multiple, chronically inpatient, persisting for 2 years, asymmetrical (only on the left leg), blurred, sometimes burning pain, large, red to red-livid, smooth erythema, partly with crinkled surface (cigarette-paper-like puckering).
Necrobiosis lipoidica: bilateral, gradually increasing, moderately sharply defined, confluent, reddish-brownish, centrally slightly atrophic plaques that have existed for about several years.
Arthritis urica: sudden spontaneous and painful (difficult to walk) redness and swelling (circled in black) of the right metatarsophalangeal joint of the big toe.
Vasculitis leukocytoclastic (non-IgA-associated): multiple, since about 1 week existing, localized on both lower legs, irregularly distributed, 0.1-0.2 cm large, confluent in places, symptomless, red, smooth spots (not compressible).
Ecchymosis syndrome, painful seti 6 months of recurrent, painful, extensive skin bleeding on the abodes and extremities in an otherwise healthy 69-year-old female patient
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