psoriasis capitis: chronically inpatient red plaques extending over the entire hairy scalp. no significant scaling (caused by pre-treatment). occasional itching. apparently diffuse hair loss
Pemphigus erythematosus: for several years recurrent, symmetrical, little symptomatic, red, plaques with coarse lamellar scales located in the seborrheic zones.
Cheilitis actinica chronica, extensive "epidermization" of the lower lip. blurred border to the skin of the lips. pronounced actinic elastosis of the skin.
Impetigo contagiosa. acutely occurring, persistent for 5 weeks, increasing despite external therapy, localized on the trunk and right arm of an 18-month-old boy, red, erosive, rough papules and plaques, partly covered with crusts. Similar skin lesions were found on the face and all extremities.
Basal cell carcinoma, destructive ulcer of the right temple of a 67-year-old woman, which has been growing slowly and progressively for several years and measures approx. 5 x 3.5 cm. The largely clean ulceration shows isolated fibrinous coatings and small crusts at the ulcer margins. The edge of the ulcer is bulging or rough, especially towards the lateral corner of the eye. Minor actinic keratoses on the forehead are also present.
eczema, atopic (nummular atopic eczema). findings persisting since the 1st month of life in a now 22-month-old boy. sudden exacerbation with severe itching since 4 weeks. generalized clinical picture with red, scaly and weeping plaques up to 10 cm in diameter. red papules of 0.1-0.3 cm in size disseminated in the apparently free skin areas (see right forearm and face).
Eczema atopic photoaggravated: 72-year-old female patient with a known, less active, chronic atopic eczema. 1 year ago the patient noticed an increasing "sensitivity to light". The present UV-triggered exacerbation with pronounced itching (after a somewhat longer walk in summer sunshine) has persisted for 3 months. Despite local treatment with a class II steroidal extender it proved to be resistant to therapy.
larva migrans. chronic dynamic disease, which appeared 3 weeks ago after a holiday in kenya. multiple, irregularly distributed, sharply defined, linear, strongly itching, firm, red, smooth papules, localized on the buttocks. in the marker test the anterior end of the duct grows 1-2 cm daily.
keratosis palmoplantaris papulosa seu maculosa. severe keratosis of the planta pedum in a 26-year-old woman. since early childhood multiple, small, isolated, wart-like horny cones with a rough, scaly surface are visible. a melanocytic nevus is also present on digitus III.
Lyme borreliosis, late stage: symptomless, morphea-like, blurred plaques existing for several months. borrelia titer with highly specific bands positive. histo: diffuse, plasma cell-rich superficial and deep dermatitis. PCR: detection of borrelia antigens.
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