Keratosis palmoplantaris cum degeneratione granulosa. 25-year-old man has a chronic, congenital, smooth, evenly distributed, waxy thickened and yellowish discoloured plaque formation of both palms of the hand. The same skin lesions are found on the soles of the feet. It is an autosomal dominant inherited palmoplantar cornification disorder.
Keratosis palmoplantaris diffusa circumscripta. 2-year-old boy has a chronic, congenital, smooth, evenly distributed, waxy thickened and yellowish discolored plaque formation of both palms. No symptoms. It is an autosomal dominant inherited palmoplantar cornification disorder.
Lichen planus (classic type): itchy, polygonal, partially confluent, brownish-reddish papules on the right hand and right wrist of a 40-year-old man, existing for 8 weeks; independent of LP, strong, palmar hyperkeratoses exist, the development of which can be ascribed to the professional activity as floor layer.
Melanoma, malignant, acrolentiginous. bizarrely configured, symptomless patch of the ball of the thumb, which has been continuously enlarged for several years. following surgery of the metacarpo-phalangeal joint. the incision line was led through the melanoma, see scar in the centre.
Melanoma, malignant, acrolentiginous. 6 years of persistent, size progressive, approx. 1.8 x 1.6 cm large, darkly pigmented, flat plaque on the palmar side of the distal phalanx of the index finger in a 73-year-old man. Focal central ulceration with scabbed overlay. The borderline is blurred, an irregular and blurred demarcation to the surrounding skin tissue is visible.
Central-peripheral neurofibromatosis (palmo-plantar neurofibromatosis or type III neurofibromatosis) Chronic inpatient palmo-plantar neurofibromatosis, progressive in childhood; now no longer progressive, soft, skin-colored, painless palmo-plantar nodules and plaques.
Pemphigoid, bullous. 0.5-5.0 cm large, bulging, partly hemorrhagic blisters which are localized on two-dimensional, borderline erythema or plaques, on the right hand of an 81-year-old woman.
Pemphigoid, bullous. 1 year old, itchy blisters on the left hand of an 82-year-old woman, filled with a yellowish liquid. Some of the blisters have been scratched open by the patient. Overall progressive skin findings, similar efflorescences on upper arms, back and feet.
Psoriasis palmaris et plantaris: Plaque type with dyshidrotic vesicles and pustules. 22-year-old man shows a sharply defined, red, rough plaque with multiple, smaller vesicles and pustules and scaling with rhagades only in the area of the small finger ball. Significant deterioration during tennis.
Psoriasis palmaris et plantaris. multiple, firm, red, rough papules and plaques with firmly adhering cap-like scaling. 14 days before, the patient had experienced a massive pustular thrust of the previously known psoriasis.
Psoriasis palmo-plantaris. dry keratotic plaque type (only little successful pre-treatment) with sharply limited (typical is the sharp limitation to the field skin of the wrists, distinction to chronic hand eczema). painful rhagades in the skin tension lines (see ball of the hand).
Psoriasis pustulosa palmaris et plantaris, fresh and dried pustules next to vesicles and coarse lamellar scaling in the area of the sole of the foot, chronic recurrent course.
Psoriasis pustulosa palmaris et plantaris. acute pustule flare. smallest sterile pustules with confluence in the centre of the picture to a large pus lake at the palm.
Multiple, 1?2 cm large, painless, coarse, predominantly intradermal nodules on the right hand of a 77-year-old man, arranged in the course of the sensitive finger nerves.
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