Connective tissue nevus, lumbosacral. 30-year-old woman, in whom these changes had been present since earliest childhood. Clinically, in the sacral region, sharply defined, very firm, partly rubbery, slightly raised above the skin level, cobblestone-like arranged, whitish papules and plaques with smooth surface are found. Localization and clinic are characteristic for the diagnosis. Secondary findings are angiofibromas in the face.
Nevus, melanocytic, dysplastic. 1.5 x 0.8 cm in size, differently structured, multicoloured melanocytic nevus, with a blurred brown soft brown papule in the centre, surrounded by a ring-shaped, reddish-brownish plaque.
Dermatomyositis. 72 year old patient with dermatomyositis known for 1 year. striped red, scaly papules and plaques over the base of the fingers. deep red, painful and slightly scaly plaques on the end phalanges, also directly periungual. distinct hyperkeratotic nail folds.
Lichen sclerosus of the penis: several discrete, veil-like, little sharply defined, whitish spots and plaques; dysesthetic discomfort during sexual intercourse.
Bowen's disease: sharply defined plaque that has existed for 2 years, interspersed with scales, crusts and erosions. Clear actinic damage to the skin of the back of the hand (therapy: 5% Imiquimod cream, 3 x per week under occlusion, complete healing).
Lupus erythermatodes tumidus:recurrent disease patternforseveral years. no itching, no other subjective complaints. significant improvement of symptoms after treatment with antimalarials.
Hand eczema atopic: long-term atopic eczema with variable course; the skin on both backs of the hands has existed with varying intensity for 1.5 years.
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