Melanonychia striata longitudinalis: DD- subungual malignant melanoma; look for the discoloration of the cuticle (so-called Hutchinson's sign), as an indication of involvement of the nail root
Purpura, thrombocytopenic: colorful picture with fresh, punctiform, red bleedings as well as older, yellowish, hemosiderotic inclusions (see following figure)
Lentigo solaris: multiple, disseminated, a few millimetres to 1.5 centimetres in size, oval, roundish or bizarrely configured, sharply defined, yellowish brown to dark brown spots on the capillitium of a 68-year-old man with skin type I. Likewise there are isolated small actinic keratoses as well as alopecia androgenetica of the man in stage IV.
Interstitial granulomatous dermatitis with plaques. 10 months ago, erythematous plaques, initially europiece-sized, appeared for the first time, later on size progressive and confluent skin lesions on the left mamma in a 38-year-old female patient. In the lower outer as well as in the upper outer quadrant of the mamma discrete, bizarrely configured, reddish-brown plaques and multiple telangiectasias are visible.
Erysipelas bullöses: extensive, sharply defined, painful redness and plaque formation in the area of the lower leg. entrance portal: macerated tinea pedum. secondary findings include fever and chills, lymphangitis and lymphadenitis.
Cheilitis simplex. Rough, reddened, painful lips with erosions, and rhagade formation in a 17-year-old adolescent. Apparently caused by continuous irritation, two large, sharply defined, smooth, brown-black spots are still visible in the area of the lower lip (post-inflammatory hyperpigmentation).
Nail hematoma: sharply distally limited discoloration of the big toe nail. nail matrix at the distal cutting edge unchanged. no longitudinal striation of the nail.
Leuconychia striata: General view: Whitish horizontal stripes in the nail plates in a 48-year-old female patient with Raynaud's symptoms existing since 6 months; slight acrocyanosis.
Dermatitis perioralis. perioral localized, flat redness (compare the surrounding normal skin), follicular papules and individual pustules. clinical picture in a 22-year-old Ethiopian woman after several months of therapy with a glucocrticoid ointment.
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