Ecchymosis. circumscribed purple-shaped hemorrhage on the chin of a 14-year-old boy. the lesion is caused by the creation of a negative pressure (suction of a glass) on the chin.
Folliculitis barbae. multiple, chronically active, increasing (since 3 months changeable symptoms), on the chin and perioral localized, single or confluent, follicular, sometimes painful, also itching, red, rough papules and pustules. no comedones.
Lip furuncle. acutely appeared, increasing, inflammatory, fluctuating, localized on the upper lip, swollen, painful, red lump. 2 days of elevated temperature and leukocytosis are secondary findings.
Granuloma pyogenicum (pyogenic granuloma) Acute, dynamically growing for 4 weeks, 0.6 x 0.5 cm in size, touch-sensitive or painful, bluish-livid, shiny, smooth nodule, partly covered with haemorrhagic crusts; a previous trauma is recalled.
Herpes simplex virus infection (massive bacerial secondary infection) Large-scale herpes simplex infection (initial infection) with bacterial superinfection in the facial area of a 4-year-old girl.
Herpes simplex virus infection. two adjacent foci on the lower lip and chin respectively. classic clinical finding with acute, itchy, herpetiform grouped, sometimes confluent raised areas (blisters) on a slightly reddened background.
Herpes simplex virus infection: severe and extensive, multifocal herpes simplex infection of the lower lip with pronounced collateral swelling; underlying HIV infection
impetigo contagiosa. skin changes existing since three weeks. beginning at the lateral half of the chin, continuous spreading. pre-treatment with corticosteroids! greasy yellow crusts on a flat redness. in the marginal area honey yellow, flat pustules with secretion accumulation. surrounding tender erythema.
Carcinoma of the lips: The lateral third of the left lip, broadly seated, firm, painless, verrucous node, which has remained "unchanged" for about 1 year; no enlargement of the regional lymph nodes detectable.
Carcinoma, carcinoma of the lip (spinocellular carcinoma of the lower lip, existing for years) Small basal cell carcinoma of the corresponding upper lip.
Squamous cell carcinoma of the skin: the left half of the lower lip is surrounded by a sharply defined, hard indurated plaque with deep, sharply marked ulceration and scaly deposits on the edges; no palpation of enlarged regional lymph nodes.
Squamous cell carcinoma of the skin (lip carcinoma): ulcerated, broad-based, painless lump of the lower lip that has been growing slowly for several months; small basal cell carcinoma of the upper lip.
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