Gottron's sign in dermatomyositis. 72-year-old patient with dermatomyositis known for 1 year. striped red, scaly papules and plaques over the base joints of the fingers. flat, deep red, painful and slightly scaly plaques on the enphalanges, also directly periungual. distinct hyperkeratotic nail folds.
Lichen sclerosus extragenitaler: large-area lichen sclerosus of the mamma; diffuse, veil-like, only slightly increased sclerosis of the skin; not quite fresh large-area hematoma in lesioned skin. Remark: in the bradytrophic lesions of the LS, bleedings persist for an unusually long time, so that the persistent (gradually blackening hematoma) is the actual reason for a visit to the doctor.
Churg-Strauss Syndrome. circumscribed, borderline red, in the centre brown-yellow (here beginning of infiltrate formation and regression), in the area of the red areas rough, moderately pressure tolerated plaques and nodules in a 40-year-old man. known allergic bronchial asthma and seasonal rhinitis allergica. rennet: eosinophilia 45%; IgE >1000U/ml
Pemphigus chronicus benignus familiaris: Diagnostically path-breaking, lineal and punctiform erosions during stretching of the skin within a sharply defined focus in the intertriginous regions (accordion phenomenon).
Xanthogranuloma juveniles (sensu strictu). softly elastic, yellowish, completely asymptomatic, hardly elevated plaques with slightly coarsened surface relief. no Darier sign! 10-month-old female infant with multiple xanthogranulomas. size growth in the first months of life.
Cheilitis contact allergic: tensed and touch-sensitive and clearly indurated lip red with radial furrows. transition to lip skin blurred. lip skin reddened, lichenified and scaly in places
Balanoposthitis plasmacellularis. multicenter, therapy-resistant, little itching, blurred, bizarrely configured, redness and erosions. 65-year-old patient. course has been changing for >1 year, temporary healing.
Scabies: severe, generalized, long-term untreated, only moderately itching scabies, with infestation of the entire integument. extensive, psoriasiform, pyodermic skin lesions. Remark: clear neglect of the patient.
psoriasis vulgaris. seborrhoid psoriasis. large, flat, red, rough plaques with fine-lamellar scaling, localized by the centrofacial system, appearing in a 26-year-old woman. similar skin changes were found on the trunk and the extensor extremities. relapsing course of the disease since adolescence.
Keloid. chronically stationary, acne-typically distributed clinical picture. multiple, in the area of the seborrhoeic zones of the trunk localized, irregularly distributed, 0.3-1.5 cm large, skin-coloured, flatly elevated, smooth papules and plaques of moderately firm consistency.
flexural atopic eczema. skin lesions in a 13-year-old girl with intermittent course since the age of 4 years. positive FA; EA: pollinosis known. in the area of the hollow of the knee blurred, reddened, slightly scaly, moderately itchy plaques. skin field coarsened (lichenification). classic finding of flexural eczema.
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).
Please login to access all articles, images, and functions.
Our content is available exclusively to medical professionals. If you have already registered, please login. If you haven't, you can register for free (medical professionals only).
Please complete your registration to access all articles and images.
To gain access, you must complete your registration. You either haven't confirmed your e-mail address or we still need proof that you are a member of the medical profession.