dermatomyositis: reflected light microscopy. hyperkeratotic nail folds. pathologically increased and enlarged torqued capillaries. older bleeding into the nail fold.
Purpura thrombocytopenic: acutely occurring, partly large-area, partly punctiform, non-anemic spots with a tendency to confluence; sudden onset with fever, multiple thromboses, disorientation, stupor; it is a drug-induced form of thrombotic thrombocytopenic purpura with hemolytic microangiopathic anemia at the base of an infectious disease and a previously unknown drug allergy.
Linea fusca. sharply defined, linear, brown, smooth, non-pruritic hyperpigmentation in a 28-year-old pregnant woman in 24th week of pregnancy. the line runs from the symphysis pubica upwards to the epigastrium. the clinical picture is diagnostically conclusive.
Striae cutis distensae: Fresh (red), symmetrical striae after many years of internal and local (steroid inhalation) therapy with glucocorticoids for bronchial asthma.
Nevus flammeus (port wine stain): congenital erythema in the facial region (capillary vascular malformation), localized in V2 distribution, completely without symptoms; control image after 4 years
Chronic contact allergic dermatitis of the capillitium (see discreet, but clearly itchy erythema) as well as of the neck and nape of the neck, triggered by para-phenylenediamine .
Dermatitis, phototoxic: chronic dermatitis with fine to coarse lamellar desquamation of the skin and brown pigmentation, in this case after prolonged use of a cosmetic. Normal sun exposure.
Pseudoxanthoma elasticum: Dermatoscopic picture of the right neck with translucent, yellowish-white solitary and also confluent "cotton-wool-like" discolorations which correspond to the elastotic collagen alterations of the dermis.
Purpura jaune d'ocre. multiple, chronically stationary, partly small, partly flat, blurred, symptom-free, reddish-brown to brown-black, rough spots (partly scaly surface) localized on lower legs and back of the foot. known chronic venous insufficiency with recurrent swelling of lower legs and back of the foot.
Pseudo-Hutchinson, sign (hematoma). hemosiderotic pigmentation of the nail fold. age-related nail (longitudinal stripes) with fine spiltter hemorrhages.
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