Lichen sclerosus of the vulva: pronounced smooth whitish sclerosis of the vulva and penineum; extensive atrophy of the small labia with gaping vagina. 7-year-old girl; changes of the lichen sclerosus for several years.
Chronic light damage: poikiloderma after years of excessive UV exposure, including hyperpigmentation, depigmentation and numerous precanceroses of the actinic keratosis type.
Raynaud's phenomenon:Raynaud's syndrome known for several years. No indication of systemic scleroderma. Here condition after Raynaud's attack with massive blue discoloration of the fingers.
Vascular (capillary) malformation (so-called naevus flammeus): Congenital, generalized, spotty erythema from the scalp to the sole of the foot in an 8-year-old boy, developed according to age.
DD: Rosacea erythematosus- here lupus pernio: 63-year-old female patient with reddish-livid plaque of the nose and previously known chronic pulmonary sarcoidosis.
Purpura thrombocytopenic: line shaped (after scratching, as well as after application of a compression bandage) fresh and slightly older skin bleedings (cannot be pushed away diascopically).
Melanoma, malignant, lentigo-maligna melanoma. deep black, irregularly limited, asymmetrical plaque in the facial region. on the right medial side an almost skin-coloured verruca seborrhoica.
Chloasma gravidarum perstans: Chronic stationary, no longer increasing, smooth, brown spots located in the temporal region in a 29-year-old woman 14 months after delivery.
Nevus flammeus: congenital, asymmetrically arranged, non-syndromal (no tissue hypertrophy, no orthopedic malposition) large-area (telangiectatic) vascular nevus; characteristic are the scattered borders of the red spots.
lupus erythematosus acute-cutaneous: acute symmetrical skin symptoms after sun exposure, which have persisted for 1 week. pat. was previously free of skin symptoms. clear feeling of tension in the skin. laboratory: ANA+; anti dsDNA antibodies neg.; anti-Ro antibodies positive.
Vitiligo. solitary or multiple, white, hypopigmented, sharply defined patches. shown here is a detailed picture. further patches were found on the neck region, hands, axillary region, nipples, navel, genito anal region.
Klippel-Trénaunay syndrome: extensive vascular malformation with extensive nevus flammeus affecting the trunk, the right arm and both legs. No evidence of soft tissue hypertrophy so far. No AV fistulas.
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