Mycosis fungoides. patch stage (early form of mycosis fungoides) Sharply limited, scaly erythema existing for several years. atrophic wrinkling of the skin on the shoulder. no significant clinical symptoms, especially no itching. low functional livedo (upper arm left). treatment in this stage blanching and with PUVA therapy.
Lupus erythematosus, subacute-cutaneous: a disease pattern that has existed for several years, progressing intermittently with homogeneously round or oval as well as anular plaques; no itching, no feeling of illness; ANA: 1:180; anti-Ro Ak+, no dsDNA-Ak.
PEP. massive itching, disseminated urticarial papules and plaques. the "red" tone of the efflorescences, so distinct in white skin, is hardly visible in dark skin.
Dermatosis, acute febrile neutrophils: Detail. 36-year-old woman with these acutely occurring, multiple, reddish-livid, succulent, pressure-sensitive papules which confluent in places.
Nummular dermatitis: Multiple, reddened, confluent, roundish plaques and scratch excoriations on the back of a 76-year-old female patient; at the upper margin of the picture a punctiform, whitish, atrophic scar is visible.
Lichen sclerosus et atrophicus: General view of a bullous form: In the region of the lower right buttocks a sharply defined plaque of about 7 x 3.5 cm in size with a parchment-like folded skin surface in a 66-year-old female patient.
PEP: Atypical minus variant with few, clearly itchy, umbilical and periumbilical scaly plaques Note: the periumbilical region is often not markedly affected (DD: pemphigoid gestationis)
Condylomata gigantea: tumour-shapedor cauliflower-like, exophytic and locally infiltrating nodes in the anal region; detection of papilloma viruses (HPV-6b or HPV-11).
Parapsoriasis en plaques, large: symptomless, well limited. disseminated stains and plaques. When the skin is wrinkled, a cigarette-paper-like pseudoatrophic architecture of the skin surface is visible (important diagnostic sign!).
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