Lichen planus verrucosus: detailed view of the distal parts. marginal smaller partly solitary parts aggregated reddish shining papules. crusts caused by scratching effects (indication of the obviously "punctual" localized itching). the blown off parts point to atrophic areas (scarring).
Basal cell carcinoma superficial: Slowly growing, symptom-free plaque with adherent white scales that has been present for several years; a shiny marginal structure is visible on the left margin.
eyelid dermatitis atopic: recurrent, circumscribed itchy eczematous reaction in this 20-year-old patient with known atopic diathesis. contact allergy is (already clinically) unlikely because of the circumscribed, sharply defined plaque. DD: atpyically localized psoriasis .
Dermatomyositis (V-sign): Characteristic cutaneous symptoms of the backs of hands and fingers, almost proving the diagnosis of "collagenosis", with reddish-livid papules arranged in stripes, which merge to form flat plaques in the area of the end phalanges. Painful nail fold keratoses with parungual erythema are sometimes seen. Such papules arranged on the stretching side are also found in SLE and mixed collagenosis, rarely once in lichen planus.
Graft-versus-Host-Disease, chronic. 56 years old patient with z.n. bone marrow transplantation 2 years ago. since 1 year increasing hardening of the skin. poikilodermatic picture with extensive whitish irritations, reticular hyperpigmentation and bizarre red spots. atrophic (parchment-like) surface epithelium with fine desquamation.
Xanthelasma. 45-year-old female patient has flat, soft, white-yellow, stripe-shaped plaques with a smooth surface in the area of the upper and lower eyelid.
Pityriasis rosea in dark skin. A few weeks old, slightly itchy, bran-like scaly exanthema in a young Ethiopian patient. Noticeable is the accentuated brighter border of the plaques.
Lichen sclerosus et atrophicus. multiple, chronically dynamic (growth since 1 year), 0.2-1.0 cm large, white, smooth, asymmetrical indurations confluent in places, no further infestation.
Acute contact allergic dermatitis with scattering reaction after application of a gel containing diclofenac; linear patterns (Koebner phenomenon) in the upper third of the dermatitis.
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