Tinea cruris: chronic plaque, slightly faded at the centre, accentuated at the edges, large, moderately itchy plaque with interspersed pustules and inflamed papules.
lymphedema, type Nonne-Milroy. distinct swelling of both lower legs and forefeet in a 74-year-old patient. family history: grandmother had lymphedema throughout her life. the patient's granddaughter also complains of lymphedema that is largely resistant to therapy.
Lichen planus verrucosus: a hypertrophic lichen planus with pseudoepitheliomatous epithelial hypertrophy and scarring that has been present for several years.
Amyloidosis systemic of the Al type: in relapses, more prominent after physical exertion, completely asymptomatic, permanently persistent purpura on both lower legs in a 65-year-old. Known plasmocytoma.
Nummulardermatitis (nummular/microbial eczema): Chronically active, 8-week-old, approx. 6 cm large, brownish, raised, partly eroded, partly crusty plaque on the back of the foot in a 54-year-old man. The surrounding skin is reddened.
Eczema, dyshidrotic: Chronic recurrent, slightly infiltrated, sharply defined red plaque on the right foot; reddish-brown, sometimes scaly, dot-shaped, older white scaly papules appear in places where water clear vesicles were previously present.
lupus erythematosus acute-cutaneous: clinical picture known for several years, occurring within 14 days and still with relapsing course at the time of admission. in contrast to the anular pattern on the trunk, irregular, blurred red plaques. in the current relapsing phase fatigue and exhaustion. ANA 1:160; anti-Ro/SSA antibodies positive. DIF: LE - typical.
Nummular dermatitis: Extensive nummular lesions that havebeen present for several months with blurred, considerably itchy papules and confluent plaques. No hinwesi for psoriasis. No evidence of atopic diathesis.
Teleangiectasia syndrome naevoides: A blurred redness of finest telangiectasia on the lower leg and foot of a 44-year-old woman that has existed for many years; the white part shows a naevus anaemicus (a frequent syndromal coupling).
sarcoidosis. small-nodular, disseminated sarcoidosis in a 45-year-old man. development of the depicted skin lesions over a period of 6 months. findings: extensive, reddish-brownish, completely asymptomatic, little infiltrated, barely pinhead-sized flat papules, which have conflued to flat plaques. recess of the contact point of the wristwatch. no evidence of system involvement.
Reticulosis, pagetoid (disseminated type Ketron and Goodman): For several years slowly migrating, partly anular, partly garland-shaped, little itchy, brown-red, only minimally elevated, broadly margined plaques with parchment-like surface.
Lichen (ruber) planus ulcerosus: extensive infestation of the feet with verrucous and crusty deposits and therapy-resistant deep ulcers with rough edges.
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