Lupus erythematodes chronicus discoides: large, sharply defined plaque with a central, clearly sunken (atrophy of the subcutaneous fatty tissue), poikilodermatic scar; the peripheral zones continue to show inflammatory activity.
acne inversa. detailed view of the chronically inpatient, painful, bulging and consistency increased skin changes. due to the chronic course, elongated, strand-like scars have already formed in the left axilla. secondary findings show an abscessed fistula duct.
Angiokeratoma circumscriptum. localized vascular malformation with bizarre blue-black papular and nodular lesions. no symptoms. increasing prominence of the herd in recent years.
Acne, steroid acne. reflected light microscopy without contact medium (section: jaw angle region in a 30-year-old bodybuilder): multiple, hypertrophic sebaceous gland follicles with central, keratotic plugs within the ostia, hypertrichosis, transparent horny layer due to corticosteroid-induced hypokeratosis, parallel striated distortion of the skin field lines due to increased transepidermal water loss as well as an ectatic subepidermal vascular network without point capillaries (years of abusus of corticosteroids and anabolic steroids).
Pityriasis rubra pilaris (adult type) Detail: chronic recurrent course for years with phases of marked improvement and extensive recurrence (fig. in a relapse period). Characteristic for the disease are the boundaries of the plaques drawn with a sharp pencil, resulting in the so-called "nappes claires", sharply recessed zones of unaffected skin in the case of extensive infestation.
Chondrodermatitis nodularis chronica helicis. solitary, 0.4 cm large, sharply defined, rough, strongly pressure-dolent papules, existing for several months. due to pain the patient is not able to sleep on the left side.
Folliculitis barbae. multiple, chronically active, increasing (since 3 months changeable symptoms), on the chin and perioral localized, single or confluent, follicular, sometimes painful, also itching, red, rough papules and pustules. no comedones.
Lichen planus (classic type): moderately itchy, disseminated, like scattered distribution pattern, red-violet colour of the surface smooth, shiny papules and plaques.
Verrucae vulgar. up to 0.6 cm in size, skin-coloured to whitish, chronic, rough papules and nodules with a verrucous surface in the area of the finger extensor sides. autoinoculation!
Nodular or nodular basal cell carcinoma. Relatively inconspicuous, sharply defined, completely asymptomatic, red nodule with a smooth, shiny surface (see detailed image and incident light image as inlet). The bizarre (tumor) vessels of the basal cell carcinoma become visible in incident light.
Dyskeratosis follicularis. close-up: This picture clearly shows the macerated aspect of the skin changes in the intertriginous area of the hollow of the knee, accompanied by an unpleasant body odour.
ear fistula and cyst, congenital (bds). findings congenital. no complaints so far. external fistula opening impresses as an irritationless brownish nodule with central porus.
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