Keratosis palmoplantaris diffusa circumscripta: Thick, waxy, yellowish, plate-like horny layer which covers the entire palm of the hand and also the sole of the foot. The mobility of the hands is restricted. Characteristically, the red seam of the affected groin skin shown here separates the infected skin from unaffected field skin.
eczema, hyperkeratotic-rhagadiform eczema of the hands and feet. multiple, chronically stationary, on palms disseminated, up to 3.0 cm in size, blurred, rough, itchy, burning when washing, grey, rough plaques. in addition there are rhagades.
Bowen's disease: chronically stationary, slowly increasing in area and thickness, sharply defined, now clearly (knot formation), symptom-free, red, rough, sometimes scaly and crusty plaque on the palm of the hand.
Keratosis palmoplantaris diffusa circumscripta: Thick, waxy, yellowish, plate-like horny layer that covers the entire palm of the hand and also the sole of the foot; the mobility of the hands is restricted.
Eczema, hyperkeratotic-rhagadiform eczema of the hands and feet. detail enlargement: multiple, chronically recurrent, blurred, flat, yellowish-brown, rough plaques and rhagades on the right thumb of a 21-year-old man which appeared for the first time 3 years ago. dorsal on the thumb and on the back of the hand several, flat, blurred, red, rough spots are visible.
psoriasis palmaris et plantaris (plaque type): chronic inpatient type. deeply drawn hand lines. there is a risk of rhagade formation here. oval encircles the sharp marking zone to the wrist. arrows mark the edges of the psoriatic plaques.
Scabies: long-term untreated, only moderately itchy scabies, with infestation of the entire integument. eczematous, pyodermic skin lesions on the fingers. remark: clear neglect of the patient
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).
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.
Pustulosis palmaris et plantaris: acutely occurring, disseminated, 0.2-0.4 cm large, smooth yellowish pustules next to older, dried brown spots; neither history nor clinical evidence of psoriasis.
Psoriasis palmaris: chronic inpatient plaque psoriasis of the hands with localized, in places striped, keratotic plaques that have been present for years.
Pustulosis palmaris et plantaris: massive (sterile), painful pustulosis of the soles of the feet after a febrile (streptococcal) infection. solitary, also grouped pustules, in places conflated to form larger "pus lakes". associated, pressure-painful arthritis (swelling) of the sternoclavicular joints.
Keratosis palmoplantaris diffusa circumscripta: Thick, waxy, yellowish, plate-like corneal layer, which is sharply separated from the field skin by a red stripe; in the lower right part of the picture the waxy corneal plate had detached a few days ago.
psoriasis palmaris et plantaris (plaquet type): palmo-plantar psoriasis known for years. no pre-treatment. extensive, sharply limited erythema. circumscribed partly stripy hyperkeratotic plaques. single deep rhagades.
Psoriasis palmaris et plantaris. dry keratotic plaque type. non pretreated psoriasis palmaris. in a 42-year-old man, these sharply defined, rough, hyperkeratotic plaques, which have existed permanently for months, appear in the area of the right palm.
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