Cumulatively toxic contact dermatitis due to excessive washing of the genital region. improvement after consequent application of a fatty ointment. Fig. takenfrom: Eiko E. Petersen, Colour Atlas of Vulva Diseases, with fresh approval of Kaymogyn GmbH Freiburg.
Necrobiosis lipoidica: irregularly configured, sharply defined, plate-like, atrophic, "scleroderma-like", smooth plaques. brownish-yellow sunken centre with atrophy of skin and fatty tissue. reddish-violet to brownish-red rim.
Psoriasis guttata. 0.1-2.0 cm in size, reddish, rough papules and plaques with fine-lamellar scaling on the trunk and extremities in a 24-year-old woman, acutely and de novo. This was preceded by a feverish streptococcal angina. After the first manifestations had healed, the psoriasis then developed into a chronic, intermittent course over many years.
Squamous cell carcinoma of the skin: carcinoma of the nail bed that has been present for several months (?), is mistaken for a fungal disease of the fingernail and is painful under pressure; onychodystrophy.
erythema exsudativum multiforme. suddenly appeared, since 4 days existing, itchy, disseminated exanthema with cocard-like plaques. the skin changes appeared shortly after the beginning of antibiotic therapy for urinary tract infection. here the finding on the back of the hand. s. isomorphism (koebner phenomenon).
Melanoma, malignant, acrolentiginous. 6 years of persistent, size progressive, approx. 1.8 x 1.6 cm large, darkly pigmented, flat plaque on the palmar side of the distal phalanx of the index finger in a 73-year-old man. Focal central ulceration with scabbed overlay. The borderline is blurred, an irregular and blurred demarcation to the surrounding skin tissue is visible.
Scabies granulomatosa, highly itchy (especially at night), solitary papules and nodules on the lower back and buttocks of an 85-year-old female patient.
Condition eight weeks after the operation. a slight shift of the left nostril edge to caudal due to the choice of the pivot point is to be documented. the aesthetic subunits of the nose are largely well defined.
eczema, contact eczema, allergic. 53 years old, still working bricklayer. chronic eczema with disseminated red, partly skin-coloured papules, which in places have confluated to blurred, lichenified plaques. furthermore discrete, laminar, fine-lamellar scaling as well as multiple partly encrusted erosions. distinct itching. proven chromate sensitisation
erythema induratum. solitary, chronically stationary, 4.0 x 3.0 cm in size, only imperceptibly growing, firm, moderately painful, reddish-brown, flatly raised, rough, scaly nodules with a deep-seated part (iceberg phenomenon). intermediate painful ulcer formation (Fig). no evidence of mycobacteriosis.
Airborne Contact Dermatitis. 2-week-old, very itchy and burning, flat, blurred eczema reaction in the area of the unclothed areas shown here. upper eyelids, retroauricular region, chin and neck region are also flatly eczematized. the changes began abruptly in the 2nd week of May.
Granuloma anulare disseminatum: Partial manifestation on the back of the right hand. Non-painful, non-itching, disseminated, extensive plaques that appeared on the trunk and extremities of a 65-year-old patient. No diabetes mellitus. No other systemic diseases known.
Acrodermatitis continua suppurativa:pronounced sterile-pustular, acral dermatitis with extensive destruction of the nails; the huat alterations are combined with severe arthritis psoriatica.
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