Purpura pigmentosa progressica (type: Purpura anularis teleangiectodes): brown-red anular, also cocard-like (ring-in-ring structure) by confluence also serpiginous foci. no significant itching. sporadically also largely faded only shadowy spots.
Eczema atopic (overview): severe atopic eczema existing for years, mainly flexural in adolescence, generalized for 2 years now. massive constant itching, intensified after sweating. numerous scratch marks.
Hand-Foot-Mouth Disease: since about 1 week, painful, blisters, pustules and papules on hands and feet; about 2 weeks before, unspecific flu-like prodromas.
Meese transverse ligaments: Pre-existing Sézary syndrome. Distinct whitish transverse ligaments of the nails, of which proximally situated discrete leukonychia.
Klippel-Trénaunay syndrome: extensive vascular malformation with extensive nevus flammeus affecting the trunk and both legs. No evidence of soft tissue hypertrophy so far. No AV fistulas. Here is a detailed picture of the sole of the foot.
Acrodermatitis chronica atrophicans. livid, blurred, variable coloured erythema of the left hand in comparison to the healthy right hand. skin atrophically shiny, hyperesthetic.
Erysipelas bullöses: acuteareal, sharply defined, painful reddening and plaque and areal blistering in the area of the lower leg. entry portal: macerated tinea pedum. fever, chills, lymphangitis and lymphadenitis also exist.
Naevus spilus resembling a cafe-au-lait spot, sharply defined towards the midline, which identifies this pigment nevus as a cutaneous mosaic. Rather discrete internal pigmentation.
Mycosis fungoides patch stage: multiple, red, symptomless patches, whose longitudinal axis is partially aligned with the cleavage lines; in summer after tanning significant improvement.
Lupus erythematosus, subacute-cutaneous. general view: multiple, solitary or confluent, small to large foci, sharply defined, partly homogeneous circular, partly also anular and gyrated, plaques with scales and crusts, trunk and extremities. 68-year-old female patient.
Purpura pigmentosa progressiva: aetiologically unexplained (medication?) pronounced clinical picture that has been changing for several months, with symmetrically distributed, disseminated, anular, non-expressable(!), non-itching, yellow-brown, spots (detailed picture).
Spider veins: Dark blue-red, 0.5-1.0 mm thick, tortuous dilated venules with irregular, ampulla or nodular ectasia on the medial left thigh of a 69-year-old woman.
naevus anaemicus: congenital, irregularly dissected white, smooth stains at the edges. no reddening after rubbing the stain. on glass spatula pressure the boundaries to the surrounding area disappear.
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