lupus erythematodes tumidus: for 4 weeks existing, little symptomatic, succulent, bright red, surface smooth papules and plaques. probably occurred after UV exposure (correlation could not be clearly clarified). no hyperesthesia. ANA: 1:160; DNA-Ak negative; DIF: uncharacteristic. initiation of therapy with Resochin.
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.
Lupus erythematosus chronicus discoides: a relapsing, progressive, disseminated, scarring, chronic cutaneous lupus erythematosus that has been present for several years. No evidence of systemic involvement (no ANA, no DNA antibodies). Here is a detailed picture.
Chronic cheilitis in lupus erythematosus chronicus discoides: chronically active, red, hyperesthetic plaques with adherent scaly deposits on the lip red of the upper and lower lip; focal areas affected are lip red and lip skin.
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.
Larva migrans, detail: Garland-shaped, tortuous, erythematous, partly scaly plaque on the right foot back of a 35-year-old patient after a bathing holiday in Thailand.
Nummular Dermatitis: General view: For several months persistent, strongly itching, solitary or confluent, coin-sized, infiltrated papules and plaques on the back of a 48-year-old patient.
Dyskeratosis follicularis: densely packed brown-reddish papules, about 2-4 mm in size, which aggregate in the décolleté area; the present distribution pattern suggests a light provocation of the disease.
Becker nevus: hyperpigmented (border areas marked with arrows), hypertrichotic epidermal nevus, in a 16-year-old female patient. encircled: lichenified skin area. no complaints. therapy not necessary. hair could be depilated.
Pityriasis rubra pilaris (adult type) Detail: chronic recurrent course for years with phases of marked improvement and extensive recurrence (fig. in a relapse period). Characteristic for the disease are the boundaries of the plaques drawn with a sharp pencil, resulting in the so-called "nappes claires", sharply recessed zones of unaffected skin in the case of extensive infestation.
Psoriasis palmaris et plantaris (plaquet type): sharply defined, homogeneously red scaly and itchy plaques on the soles of the feet, spreading medially to the edge of the foot and the lower leg.
Systemic lupus erythematosus: changes in the oral mucosa with extensive erosions and veil-like whitish plaques; spicy and very warm food leads to considerable painful burning.
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