Balanitis plasmacellularis. several months of therapy resistant, itching and burning, sharply defined, bizarrely configured, lacquer-like glossy red plaque on the glans penis and the adjacent preputial leaf in a 66-year-old diabetic. course of the disease has been changing for 1 year, healing in between. at the beginning of the disease several areas were already affected (important differential diagnostic distinction to erythroplasia).
Melanoma malignes acrolentiginous: Irregularly bordered and stained completely symptom-free plaque, existing for years. I increased surface growth and development of an "unpleasant feeling" in this 42-year-old patient during the last months.
Erythema anulare centrifugum: Characteristic single cell lesion with peripherally progressing plaque, which is peripherally palpable as well limited (like a wet wolfaden), flattens centrally and is only recognizable here as a non-raised red spot. DD Mycosis fungoides. Histological clarification necessary.
xanthelasma: the skin lesions developed gradually over the past 3-4 years. several, soft, yellow, fielded elevations with a smooth surface. no subjective symptoms. no hypertriglyceridemia detectable (E78.1)
Tinea faciei. multiple, chronically active, since 4 weeks flatly growing, disseminated, 0.5-3.0 cm large, blurred, itchy, red, rough (scaling) papules and plaques as well as few yellowish crusts
Kaposi's sarcoma endemic. asymptomatic, brown to reddish-livid spots, papules and plaques as well as edema. smooth skin surface, no scaling. shown here is the endemic form which occurs mainly on the lower leg.
Lichen sclerosus extragenitaler: Diffuse, veil-like, only slightly consistency increased sclerosis of the skin, in case of less inflammatory Lichen sclerosus.
lichen sclerosus of the penis: encircled, several discrete, veil-like, little sharply defined, whitish spots and plaques. these have not been noticed so far. the foreskin is sclerosed and slightly constricted like a band (see bar markings). painful tears (arrow markings) occur after intercourse. finally, "pain after intercourse" led to a visit to the doctor!
Dyskeratosis follicularis. infestation of the Rima ani. chronic, intertriginous, whitish sooty, blurred, macerated, superficially rough, clearly increased in consistency, itchy and unpleasant smelling plaques. peripherally the characteristic picture of dyskeratosis follicularis with disseminated red or red-brown papules. on the left side 2 melanocytic nevi.
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