Squamous cell carcinoma of the skin: ulcerated, spinocellular carcinoma of the lower leg, which has long been misunderstood as an ulcer (cruris) and thus has been treated unsuccessfully. Remarkable: Only slight pain!
Primary cutaneous marginal zone lymphoma: localized red (surface smooth) plaque with circulatory margins, known for several months, only moderately consistent, no evidence of systemic involvement.
Pemphigoid, bullous, multiple, sometimes several centimeters in diameter, flaccid, sometimes burst blisters with serous content as well as flat erosions mainly on the left foot back of a 78-year-old patient. The surrounding of the blisters is reddened over the whole area. Onychodystrophy of the toenails is a secondary finding.
Ulcus cruris venosum. infected (Pseudomonas aeroginosa), with yellowish-greenish coatings overlaid ulceration covering the lower leg in a 78-year-old female patient with CVI. Heavily inflamed wound edges; very severe pain. pain relief with elevated position of the leg.
eczema, dyshidrotic: chronic recurrent, hyperkeratotic eczema of the hands and feet. here changes of the sole of the foot. recurrent episodes with itchy blisters. no signs of atopy. no contact allergy. no atopic diathesis.
Acropathia ulcero-mutilans familiaris. large, completely areactive ulcer (at pressure point) extending to the heel bone. the 40-year-old patient has been suffering from peripheral polyneuropathy for more than 10 years with sensory disturbances for pain, temperature and touch. babinski sign is positive!
Lichen planus verrucosus: Large, coarse, brownish to brownish-red plaques with a verrucous surface that have been present for 6-7 years. There is itching, and several scratch artefacts have been found in the vicinity of the skin lesions.
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