Dermatomyositis, malignoma-associated, occurrence of punched-out ulcerations on the floor of indurated, livid erythema in a 67-year-old patient with bronchial carcinoma.
Drug reaction, fixed: recurrent course with acute itchy redness 1 day after taking ibuprofen (600 mg) due to rheumatoid complaints. After 2-3 days the acute symptoms subsided with the residual hyperpigmentation shown here. The acute changes occurred strictly localized.
Granulomatosis disciformis chronica et progressiva. single, hardly infiltrated, hyperpigmented, bizarrely limited focus (only palpable as a spot) in the area of the lower leg.
Trichomoniasis with severe vulvitis that has been pretreated several times with antibiotics. 62-year-old patient with a new partner. Fig.from Eiko E. Petersen, Colour Atlas of Vulva Diseases, with the prior approval of Kaymogyn GmbH Freiburg.
Differential diagnosis Lichen planus mucosae - present mucosal changes in systemic lupus erythematosus with white veil-like plaques and extensive (painful) erosions of the buccal mucosa; plaques in the region of the dental fissure densified.
Pemphigoid, bullous. general view: state of healing. Disseminated, sharply defined or confluent, brownish or livid, postinflammatory hyperpigmentation in a 55-year-old female patient.
DD: Nail hematoma - here Melanonychia longitudinalis: Typical finding of a melanocytic pigmentation of the nail. Melanon grows in stripes, starting at the site of pigment formation (here the nail root is not visible) to the front. This finding is not observed in a nail hematoma. Note: the nail matrix shows a dark discoloration at the front edge of the cut (pigment is embedded in the nail matrix).
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