Necrobiosis lipoidica: Discrete finding with slightly hardened plaque and atrophic surface (parchment-like puckering of the skin surface in the centre).
Erythema induratum. 52-year-old secretary has been suffering for 3 years from this moderately painful lesion running in relapses. Findings: Clinical examination o.B. Local findings: 10 cm in longitudinal diameter large, firm plaque, interspersed with cutaneous and subcutaneous nodules. In the centre scarring, on the edge deep, poorly healing ulcerations (here crusty evidence).
Lichen planus (classic type): moderately itchy, disseminated, like scattered distribution pattern, red-violet colour of the surface smooth, shiny papules and plaques.
vasculitis, leukocytoclastic (non-IgA-associated). multiple, acute, symmetric, localized on both legs for 2 weeks, symptomless, red, smooth spots and plaques. localized aspect of erythema multiforme.
Lichen planus atrophicans. atrophying Lichen planus existing for several years. recurrent, spontaneous formation of erosions and also flat ulcers. resistance to therapy.
Lichen simplex chronicus: approx. 18x12cm large, itchy plaque with rough surface left lower leg of a 25-year-old female patient. in the loosened marginal area the primary papular structure of the lesion is visible. DD: Lichen amyloidosus.
Tinea pedum. general view: Discrete, well defined, heart-shaped, reddened, slightly scaly erythema and hyperkeratosis on the left inner side of the foot in an 80-year-old female patient with exacerbated tinea pedum. The prominent hallux valgus is altered with the same efflorescences.
Dermatoliposclerosis in a known chronic venous insufficiency with superimposed erysipelas, which is indicated by the finger-shaped extensions which protrude at the right margin of the picture (lymphangitic spread).
Sézary syndrome: 62-year-old patient. 1 year ago first skin changes with uncharacteristic moderately itchy erythema on the trunk and extremities. Findings: Erythroderma with extensive edematous swelling of the skin; massive pruritus; taut lower legs; massive lymph node packages of the groin.
Contact dermatitis toxic: Detail enlargement: Severe hyperkeratosis on reddened skin as well as isolated small rhagades and erosions on the left ankle of a 46-year-old patient.
psoriasis palmaris et plantaris. sharply defined, clearly infiltrated, rough plaques with coarsening of the skin field. redness accentuated in the marginal area. extensive (parakeratotic) scaling. this finding is typical of non-pretreated psoriasis plantaris.
Tinea cruris: chronic plaque, slightly faded at the centre, accentuated at the edges, large, moderately itchy plaque with interspersed pustules and inflamed papules.
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