Drug exanthema, maculo-papular. multiple, acutely occurring, generalized, very itchy, mainly on the trunk and extremities localized, mostly confluent, smooth papules and plaques in a 31-year-old woman. Occurrence after ingestion of acetylsalicylic acid.
Erythrodermic psoriasis: erythrodermia that has existed for several months in previously known psoriasis. universal redness with coarse lamellar scaling. the clinical picture of erythrodermia is not "diagnosis-defining". erythrodermia can occur as a maximal variant of several clinical pictures.
Purpura eczematide-like purpura: non-symptomatic (no itching) eczema-like disease that has been recurrent for months in a completely healthy patient (no history of medication).
Chloasma/melasma ina 27-year-old Ethiopian female patient after prolonged use of oral anticonceptives; large, bizarrely bordered hyperpigmentation of the cheek, lips, nose and forehead.
Lupus erythematodes tumidus: Plaques existing for 3 months, localized on the back and face, irregularly distributed, sharply defined, 0.2-3.0 cm in size, flatly raised, clearly increased in consistency, slightly sensitive, red, smooth plaques; no significant scaling.
Amyloidosis systemic of the Al type. after banal efforts or local trauma completely symptomless, permanently persistent purpura. on intensive examination a flat, symptomless discoloration (amyloid deposits) of the anterior neck area is noticeable. known plasmocytoma.
Differential diagnosis "Naevus anaemicus"; naevus depigmentosus; congenital white spot, calm, not cracked boundary pattern, after vigorous rubbing the lesional skin reacts with nromal reactive redness.
Urticaria pigmentosa: approx. 0.5-1.0 cm in size, disseminated, roundish, brownish-red spots. Only when rubbed, the spots become more red with accompanying itching. Increased redness and itching even in warm showers or baths.
erythema infectiosum. after slight "flu-like" infection intensive redness (and swelling) of both cheeks (cheek whistle face). 2 days later little symptomatic exanthema with anular erythema on the arms. cervical lymphadenopathy. laboratory: o.B.
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