Lichen planus verrucosus with transition into a lichen palnus ulzerosus: verrucous and hyperkeratotic lichen planus of both feet and lower legs, existing for several years, and for several months flat deep ulcers without any healing tendency.
primary diffuse diffuse large cell B-cell lymphoma leg type: for about2 years papules and nodules on the left leg of a 55 years old woman appearing in relapses. in the last weeks rapid growth of the pre-existing nodules and eruptive appearance of new nodules. initially no symptoms. since 2 months increasing tendency to dry and also weeping surface scaling. in places complete decay of the nodules.
Primary cutaneous diffuse large cell B-cell lymphoma leg type: For about 2 years papules and nodules on the left leg of a 55 years old woman appearing in relapses. In the last weeks rapid growth of the pre-existing nodules and eruptive appearance of new ones. Initially no symptoms. For 2 months increasing tendency to surface scaling and ulcer formation.
Nummular dermatitis: chronically active, for several months existing, approx. 6 cm large, raised, partly eroded, partly crusty plaques in a 45-year-old man. The surrounding skin is reddened.
Granuloma anulare erythematous type. little indurated, marginal reddish-brown plaque with indicated central atrophy. slow centrifugal growth lasting for months. Granulomatosis disciformis chronica et progressiva is to be considered as a differential diagnosis (entity).
Purpura thrombocytopenic: acutely occurring, partly large-area, partly punctiform, non-anemic spots with a tendency to confluence; sudden onset with fever, multiple thromboses, disorientation, stupor; it is a drug-induced form of thrombotic thrombocytopenic purpura with hemolytic microangiopathic anemia at the base of an infectious disease and a previously unknown drug allergy.
Nummular Dermatitis: General view: For 3 years persistent, itchy, eroded, excoriated, partly encrusted, coin-shaped plaques on the left lower leg of a 64-year-old female patient.
Klippel-Trénaunay syndrome: extensive vascular malformation with extensive nevus flammeus affecting the trunk and both arms. So far no evidence of soft tissue hypertrophy. No AV fistulas.
erysipelas. extensive redness and swelling of the left foot in a 71-year-old man. on the left back of the foot there is a sharply limited overheated erythema with flame-like runners of 15 x 15 cm in size. the back of the foot is circumferentially enlarged and painful. secondary findings are the palpation of single, enlarged, pressure-dolent lymph nodes in the corresponding lymph drainage area of the groin region.
Tinea pedum: discrete, well defined, heart-shaped, slightly scaly erythema and hyperkeratosis on the right foot back of an 80-year-old female patient with exacerbated tinea pedum.
Lichen planus verrucosus. solitary, chronically stationary, for months unchanged, very itchy, 5.0 cm large, rough, red, verrucous plaques on the lower leg. a highly chronic course over years is to be expected.
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