AL-amyloidosis in smoldering myeloma. 77-year-old patient with recurrent ecchymosis of the periorbital region, clinically corresponding to a hematoma of the eyeglasses. These characteristic skin lesions are called "raccoon sign". Further purple skin lesions are found in the neck and retroauricularly. The bone marrow biopsy showed a smoldering myeloma (infiltration of plasma cells at 15%).
Dermatomyositis. Gottron papules in a 72-year-old woman. Smaller, striated, reddish-livid papules appear, which confluent in the region of the end phalanges to form flat plaques. Strongly pronounced nail fold capillaries on dig. III and V. The Keining sign was strongly positive in the clinical examination.
Hyperpigmentation, caloric. 55-year-old female patient, who was treated for several months with heat applications because of back problems. At the heat contact points, partly anular, partly reticular, partly flat, dirty-brown hyperpigmentation can be seen.
Hyperpigmentation, postinflammatory. flat, brownish hyperpigmentation in the face of a 69-year-old woman with chronic lichenoid dermatitis and atopic diathesis
Parapsoriasis en plaques, large: symptomless, well limited. disseminated stains and plaques. When the skin is wrinkled, a cigarette-paper-like pseudoatrophic architecture of the skin surface is visible (important diagnostic sign!).
Mononucleosis, infectious: slightly itchy, urticarial, small-spotted, locally confluent haemorrhagic exanthema on the right arm in a juvenile patient; it is a viral disease caused by the Epstein-Barr virus with accompanying necrotizing angina and lymphadenopathy.
Dermatitis, phototoxic. general view: Pronounced erythema on the fingers of the left hand as well as isolated blisters in a 71-year-old patient who had sunbathed under ongoing doxycycline therapy.
Pityriaisis versicolor alba: irregularly distributed, symptomless (slight feeling of tension in the skin) bright spots, which now appeared and were noticed after a sun holiday.
Urticaria pigmentosa (overview): Adult form of Urticaria pigmentosa (erythroderma). With a history of many years, continuous increase in spot density. The inlet shows the confluence of numerous red spots.
Dermatitis, chronic actinic. detail enlargement: Disseminated, scratched papules and nodules as well as blurred, large-area, reddened, severely itching erythema in the face of a 51-year-old female patient with atopic eczema existing since birth.
Eczema atopic (overview): severe, universal (erythrodermic) atopic eczema. exacerbation phase since about 3 months. patient with rhinitis and conjunctivitis with pollinosis. total IgE >1.000IU.
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