contact dermatitis, toxic: overview picture: hyperkeratotic-rhagadiform eczema of the Palma in a 61-year-old, self-employed craftsman. for a long time eczema of the hands and fingers occurred again and again, partly also deep rhagades. occupationally there has been contact with tin-containing analogue paste (tin-containing soldering paste) for a long time. the temporal connection of the first manifestation with the use of the paste is given. on weekends the eczema heals very well, likewise it comes to complete remission during longer work-free intervals (holidays).
Papillomatosis cutis lymphostatica: Large-scale verrucous plaque with a blurred border on all sides, coarsely indurated, with formation of succulent nodules; condition following recurrent erysipelas.
lupus erythematodes chronicus discoides: 25-year-old otherwise healthy patient. variable now discrete skin lesions; for 12 months. only low photosensitivity. multiple, touch-sensitive, red, plaques. histology and DIF are typical for erythematodes, ANA and ENA negative.
Lyme borreliosis: picture of acrodermatitis chroica atrophicans. flat, partly livid, partly lilac erythema in the area of the entire upper body after a tick bite about 14 months ago. serological evidence of a borrelia infection. stage III of Lyme borreliosis.
Hamartoma, eccrine. Since the age of 1 year existing pressure-painful nodules with local hyperhidrosis and a verrucous surface at the end of the finger of a 12-year-old boy. No subjective symptoms.
Keratosis palmoplantaris papulosa seu maculosa. since childhood persistent, chronically stationary, strong keratinization of the planta pedum with multiple, few millimeters large, wart-like horny cones with rough, scaly surface. central rejection with funnel-shaped defect.
Circumscribed scleroderma (plaque type): for about 2 years first occurring, since then progressive in size, large, brown, locally confluent, moderately indurated stains and plaques in the area of the trunk in a 28-year-old female patient.
Lupus erythematosus: cutaneous chronic (scarring) lupus erythematosus (chronic discoid lupus erythematosus). years of progression with circumscribed red scarring plaques (circle - with whitish scarring - atrophic area without follicular structure): arrow: dermal melanocytic nevus.
Dyskeratosis follicularis: 74-year-old woman. large , hyperkeratotic zones with reddish, partly macerated papules and firmly adhering, partly eroded, confluent keratoses on the capillitium and in the facial area preauricularly, existing since early childhood. the patient has a somewhat neglected appearance. the skin lesions have a foetal odour. the lesions increase with sweating or heat, especially in the warm season.
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