Lichen planus verrucosus: a hypertrophic lichen planus with pseudoepitheliomatous epithelial hypertrophy and scarring that has been present for several years.
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.
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.
psoriasis palmaris et plantaris. hyperkeratotic changes in a 50-year-old office worker, existing for 5-6 years. painful rhaghades persisting for weeks at the edge of the heel, especially after jogging. never blisters or pustules. the inflammatory fringe at the edge of the keratosis is typical (but not proving) for psoriasis. clinical diagnosis "psoriasis plantaris" from this (mono)finding difficult. securing the diagnosis by clinical evidence of psoriasis at the contralateral heel, elbows and palms.
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.
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.
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