Pityriasis rosea: clearly visible primary medallion in the right axilla. the red colour typical of the flock in white skin is completely absent in dark skin.
Psoriasis inversa: 69-year-old woman. 6 months at presentation. no manifestations of psoriasis present on the remaining integument. family history but positive: son with known psoriasis vulgaris.
Mastocytomas, cutaneous: moderately consistency-propagated, brownish-reddish, blurred, maculopapular plaques; the Darian sign is positive (development of a wheal after rubbing the efflorescence).
Lupus erythematosus, subacute-cutaneous, multiple, chronically dynamic, increasing, small or extensive red spots as well as red, small, sometimes rough, scaly papules and pustules on the face of a 66-year-old man. Furthermore, extensive, net-like branched telangiectasia can be found. DIF from lesional skin (see inlet; arrows indicate IgG deposits on the dermo-epidermal basement membrane zone and the follicular epithelium)
Scabies norvegica: Severe, generalized, untreated scabies of the whole integument with flat, psoriasiform scaly crusts at the back of the head; broad perilesional erythema.
mucinosis(s). plaque-shaped, idiopathic, cutaneous mucinosis. red, rather sharply defined, cushion-like, smooth plaques in the face of a 42-year-old woman. similar efflorescences were observed in the breast area and on the back.
Acrodermatitis continua suppurativa: chronic, recurrent, sterile pustular disease of the acromion, which leads to atrophy and loss of nails if it occurs repeatedly and persists for a long time (see figure).
Bilateral naevus verrucosus in an infant. No symptoms. Psoriasiform aspect of the plaques running in the Blaschko lines, scattered, reddish, slightly infiltrated, scaly.
Necrobiosis lipoidica: different clinical sections. frontal, large, little indurated, slightly reddened plaque with atrophic surface. lateral a 3.5 cm diameter medal-shaped plaque with a slightly marginalized edge.
Granuloma faciale: Red-brown, blurred and irregularly configured, symptomless plaque in a 52-year-old man. distinct follicular prominence. no known secondary diseases, no medication anmnesia. the finding has been present for several months and is slowly progressive. detailed picture of multiple plaques in the face.
DD Erythroplasia: Balanitis plasmacellularis: For 1.5 years recurrent, in the meantime also healing, multiple, temporarily burning, red, rough, sharply defined, velvety granulated plaques on the glans penis in a 53-year-old patient. slight urinary incontinence.
Acrodermatitis chronica atrophicans: extensive, oedematous, tender red erythema as well as flaccid atrophy with cigarette-paper-like folding of the skin on the right hand of a 77-year-old woman. For 2 years there has also been joint pain in both hands and both shoulder joints as well as gait insecurity with proven neuroborreliosis. The fingernails are partly dystrophic (see stripy leukonychia) and partly no longer firmly connected to the nail bed.
Squamous cell carcinoma of the skin: ulcerated, temporarily painful and burning, erosive plaque on lichen sclerosus et atrophicus, which has been present for years (still clinically detectable).
Squamous cell carcinoma of the skin: carcinoma of the nail bed, which was misjudged as a fungal disease of the toenail and whose infiltrating growth had led to an almost complete onychodystrophy.
Eczema, photoallergic. 78-year-old female patient. Taking diuretics because of lymphedema. After first exposure to sunlight in spring, blurred erythema, reddened papules as well as flat, scaly plaques (sternal area) appeared in light-exposed areas.
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