candidiasis, chronic mucocutaneous (CMC). pronounced doughy and persistent swelling of the lips with several chronic rhagades in Crohn's disease. whitish, flat deposits on the base and back of the tongue. pearlèche on both sides.
Impetigo contagiosa. red, erosive, rough, partly crust-covered plaque with rhagades and scaly crusts, persistent for several weeks, resistant to therapy. evidence of Staphylococcus aureus.
Amyloidosis macular cutaneous: Large, long-standing, continuously spreading, blurred, symmetrical, light to medium brown spots and plaques; histological evidence of the amyloid.
Bowen's carcinoma: on years of existing, less symptomatic scaly plaque, increasing infiltration with verrucous keratotic deposits (invasive carcinoma development). 75-year-old patient with CML and permanent treatment with Leukeran.
Contact dermatitis: Heavily lichenified eczema plaques in the area of the upper and lower eyelids in chronic, contact-allergic eczema; evidence of sensitization to various eyelid cosmetics.
Transitory acantholytic dermatosis (M.Grover): moderately itchy clinical picture with disseminated itchy papules and also papulo vesicles, which has been present for a few weeks; Nikolski phenomenon negative.
eczema, dyshidrotic: chronic recurrent, hyperkeratotic eczema of the hands and feet. here changes of the sole of the foot. recurrent episodes with itchy blisters. no signs of atopy. no contact allergy. no atopic diathesis.
Dermatomyositis (overview): Extensive, indicated striated erythema with reddish-livid papules which confluent in the region of the end phalanges to form extensive plaques; strongly pronounced nail fold capillaries.
Chronic contact allergic eyelid dermatitis: therapy-resistant, chronic dermatitis of the eyelid caused by beta-blocker-containing eye drops (for glaucoma). Only by changing the therapeutic agent could a complete healing of the chronic dermatitis be achieved. In the meantime, a 1% hydrocortisone vaseline was applied twice a day.
Erythema chronicum migrans. large plaque, which has been growing steadily on the periphery for about 8 months, only slightly increased in consistency, homogeneously brownish in the centre, somewhat atrophic, marked by an increasingly consistent erythema zone at the edges. only occasionally "slight pricking" in the lesional skin.
Psoriasis palmaris et plantaris: dry keratotic plaque type. chronic, sharply defined (wrist), extensive, rough (scaly) plaques and rhagades. movement restrictions (pain when washing hands). it is a chronic inpatient variant of psoriasis vulgaris with manifestation on the palms of the hands and/or soles of the feet.
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