Eczema atopic photoaggravated: 72-year-old female patient with a known, less active, chronic atopic eczema. 1 year ago the patient noticed an increasing "sensitivity to light". The present UV-triggered exacerbation with pronounced itching (after a long walk in summer sunshine) has persisted for 3 months. Despite local treatment with a class II steroid externum it proved to be resistant to therapy.
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.
Lupus erythematosus, subacute-cutaneous. Within a few months developing, light-emphasized exanthema with multi-forms and large plaques. No feeling of illness. High titre SSA-Ac.
Airborne Contact Dermatitis: Retroauricular infection: This pattern distinguishes ACD from photoallergic eczema, where the "shadow area of the auricle" remains free.
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.
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.
Systemic lupus erythematosus: acute maculopapular exanthema, accompanied by recurrent fever attacks, fatigue and exhaustion, arthralgia, inflammation parameters +, ANA high titer positive, rheumatoid factor +, DNA-AK+. UV-relatedness of the exanthema is not detectable.
Teleangiectasia macularis eruptiva perstans. 58-year-old patient with a generalized, spot-like clinical picture which has existed for years and shows a constant progression. Itching during sweat-inducing efforts and mechanical exposure of the affected skin areas. Bizarre teleangiectatic vascular convolutions are characteristic.
Lupus erythematosus, subacute-cutaneous. Within a few months developing, light-emphasized exanthema with multi-forms and large plaques. No feeling of illness. High titre SSA-Ac.
Lupus erythematosus, subacute-cutaneous: progress photo; recurrent relapsing activities, here picture taken after a 6-year course of the disease; ANA+; anti-Ro Ak+.
Airborne Contact Dermatitis: Acute, massively itching and burning dermatitis, which is limited to the freely carried skin areas, the lower border only blurred (leaking eczema foci), a typical feature of contact allergic eczema.
Vascular (capillary) malformation (naevus flammeus): Congenital, generalized, symptomless, spotty erythema on the face and trunk in a 9-year-old boy, developed according to age.
Lupus erythematosus, subacute-cutaneous. detail magnification: Multiple, solitary or confluent, small spots to large areas, sharply defined, anular and gyrated erythema of neck and face of a 68-year-old female patient, partly covered with yellowish crusts.
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