Usual melanocytic nevus. type Lentigo solaris. Chronic stationary, no longer increasing, sharply limited, symptomless, axisymmetric, 1.0 x 0.6 cm large, brown spot on the auricle of a 36-year-old woman.
lupus erythematosus systemic. persistent, sharply defined, symmetrical, non-scaly erythema of the face after exposure to sunlight. known Raynaud's phenomenon. individual enanthema of the oral mucosa (hard palate and cheek mucosa). distinct disturbance of the general condition with arthralgias, fever up to 38° C. typical - butterfly pattern - ("butterfly mask") with free perioral triangle. bridge of nose, upper eyelid and tip of chin are affected.
Circumscriptal scleroderma (plaque-type/variant: Atrophodermia idiopathica et progressiva) Survey picture of the trunk: 2 years ago for the first time appeared, since then size progressive, large-area, erythematous-livid to brown, confluent, discreetly indurated spots and plaques in the region of the trunk in a 68-year-old female patient. In the region of the lower abdomen on the right side clearly sclerosed plaques of whitish color with partly distinctly atrophic surface and partly livid margins are found.
Mixed connective tissue disease. hyperkeratoticnail folds with elongated capillaries and focal haemorrhages. Note the splatter-like scars on the back of the fingers as well as the expression of focal, now healed scarred, cutaneous vascular occlusions.
Psoriasis intertriginosa: extensive psoriatic affection of the scrotum combined with distinct itching, especially when sweating (DD: atopic scrotal eczema)
Psoriasis vulgaris, detail section: Chronic dynamic plaque in the axilla of a 6-year-old girl, occurring in recurrent attacks and existing for 10 days, increasing, solitary, red, rough, covered with cap-like scales.
Lymphangioma cavernosum. suction.hemato-lymphangioma. cutaneous-subcutaneously localized, jagged "always present", completely symptom-free, plaque-like elevation which is compressible. in the anterior part of the lesion also "washer-clear" small blisters (cysts) are recognizable.
Poikilodermatic mycosis fuungoides (plaque-type): conspicuous lesional atrophy, which comes close to the clinical aspect of "granulomatous slack skin".
Psoriasis palmaris et plantaris (plaquet type): chronic stationary keratotic plaques on the soles of the feet and toes, in this case spreading to the backs of toes and feet.
lichen sclerosus of the penis: extensive sclerosing of the prepuce with verrucous whitish plaques. from this angle the distinct skelrotation of the glans penis is visible. sulcus coronarium completely elapsed. in the present case a circumcision of the prepuce is a compelling therapeutic measure.
Acanthosis nigricans benigna: blurred brown-black spots and plaques. the plaques are characterized by a slightly sooted, leathery surface. no subjective symptoms.
Chilblain lupus. early stage with livid-red, surface smooth, painful plaques. clinical picture reminiscent of chilblain (frostbite lupus). no other systemic signs of lupus erythematosus. hyperkeratotic nail folds.
Exfoliatio areata linguae. 2 anular, "plaque free" areas. low burning sensation with spicy food or fruity drinks. characteristic for the clinical picture are the whitish swollen border areas. otherwise normal coating of the tongue
Lichen sclerosus extragenitaler: unusual (solitary) localization of a (histologically confirmed) extragenital Lichen sclerosus. A slight induration of the area is proven. No itching.
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