Type I Neurofibromatosis, peripheral type or classic cutaneous form. Since puberty slowly increasing formation of these soft, skin-coloured or slightly brownish, painless papules and nodules. Several café-au-lait spots.
Erythronychia, localized longitudinal. idiopathic, solitary, painless, red longitudinal striation of the nail plate with low-grade, V-shaped retraction and splinter hemorrhaging. The clinical picture is diagnostically conclusive.
half and half nail: zonal, sharply bordered white coloration of the proximal and brown coloration of the distal nail plate. slight acrocyanosis. no underlying disease remembered. known is a polyneuropathy
Illustration was kindly provided by Dr. med. H. Luther/Essen.
mononucleosis, infectious. swallowing difficulties for 5-6 days; fever > 39 °C. generalized, non-itchy exanthema for 1 day. painful regional lymph nodes (neck, throat). little itchy, urticarial, small spots, confluent exanthema in places with clear accentuation of the face. no enanthema! paul bunnel reaction positive. IgG antibodies against epstein-barr virus, fourfold increase in titer every 10-14 days. detection of epstein-barr virus dna via PCR is positive.
Melanonychia striata longitudinalis: approx. 0.2 cm wide, dark brown strip of the nail. nail fold very discreetly affected (see inlet). only 1 fingernail is affected. a clinical control (photo documentation) with measurement of the width of the pigment strip is recommended.
Ecchymosis syndrome, painful seti 6 months of recurrent, painful, extensive skin bleeding on the abodes and extremities in an otherwise healthy 69-year-old female patient
Spider veins. Multiple, radially spread, radiating vascular dilatations of different calibre, partly in the skin level, without symptoms, persisting for several years, as if drawn with a thin pencil, located at the level of the skin, on the integument of a 77-year-old female patient. In the centre confluence of the filigree vascular strands to a bluish red spot.
Chronic photo-ageing of the skin: moderately pronounced photo-ageing of the skin; in addition to an extensive base tan, irregularly configured pigment spots; further splashes of depigmentation.
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