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.
Varicella: generalized exanthema with juxtaposition of vesicles, papules, papulopustules, here infestation of the palms with vesicles, papules and pustules.
Syphilis: papular syphilide of the palms. loosely distributed reddish-brownish, scaly, symptomless papules on both palms. these changes are a section of a generalized papular exanthema.
Scabies in a 3-year-old boy: since several months existing, massively itching, generalized clinical picture with disseminated scaly papules and plaques, here infestation of the palms.
Lichen planus. chronic progressive form (present in this form for about 1 year). plaque-shaped hyperkeratosis in LP palmoplantaris. the flat, yellowish hyperkeratotic plaque is lined by reddish-livid papules. the diagnosis LP is only possible at the roundish papules in the marginal area.
Lichen planus (classic type): pronounced infestation of the palms. infestation of the palms by confluence of papules and plaques. the nodular structure is especially visible in the peripheral areas.
Granuloma pyogenicum (pyogenic granuloma) Rapidly growing, shiny tumour on the palm of the hand. Previous harmless stab wound. The inlet shows a collar-shaped enclosure of the granuloma by the surrounding skin.
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