Klippel-Trénaunay syndrome: extensive vascular malformation with extensive nevus flammeus affecting the trunk and both arms with distinct soft tissue hypertrophy of the right arm.
acrocyanosis in age-atrophied, shiny skin with half and half nails. DD: chronic lyme borreliosis. here the picture of acrodermatitis chronica atrophicans is present. the cold-dependence of the redness is not very pronounced. conspicuous (see stronger enlargement) the smooth atrophic skin surface. a positive borrelia serology is always to be expected in this stage of a borrelia infection.
Erythema dyschromicum perstans. clinical picture existing for months. initially small spots of brown-red with little increase in consistency, later large, steel to slate grey, smooth spots and plaques of the skin. no medication history.
Acrodermatitis chronica atrophicans: livid, blurred, changeable colored erythema of the left hand compared to the healthy right hand. skin atrophically shiny, hyperesthetic. positive borrelia serology!
Notalgia paraesthetica:interval-like itching, also burning, blurredly limited hyperpigmentation, known for several months; the itching is answered by prolonged (lustful) rubbing on the edge of the door.
Naevus depigmentosus: congenital harmless localized pigment disorder, no surface progression. characteristic is, in contrast to the naevus anaemicus, the "calm" smooth-edged border of the spot.
Artifacts. flat erythema with sharp angular border lines, allegedly existing since 1 week in a left-handed woman. rapid healing under bandages (diagnostically almost proving an artificial mechanism). the signal character typical for a genuine dermatosis is missing!
Nevus, melanocytic, congenital. since birth existing, well defined, bizarrely configured, sharply limited, light brown (in the cranial part) to strongly brown (in the middle and lower part) spot on the face of an 11-year-old boy.
Dermatitis solaris: painful, extensive and painful erythema and blistering, clearly marked on areas exposed to sunlight, following several hours of exposure to the sun.
DD: Rosacea erythematosa (in this case systemic lupus erythematosus): butterfly-like, symmetrical, variable redness and swelling of both cheek areas, excluding the perioral region.
dermatomyositis. red-violet, slightly itchy, flat. blurred erythema in the décolleté and on the lateral parts of the neck. general fatigue and muscle weakness.
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