Anticonvulsant hypersensitivity syndrome. 4 weeks after the start of anticonvulsant therapy suddenly appeared, severe clinical picture with fever and exanthema, generalized lymphadenopathy, increase in liver values, leukocytosis with neutrophilia as well as eosinophilia. Uniform, scaling, painful facial redness.
dyshidrotic dermatitis: chronic recurrent hyperkeratotic dermatitis of the hands and feet. detailed view of the toes. recurrent episodes with itchy blisters. no signs of atopy. no contact allergy
Drug reaction, fixed: suddenly appeared, for 3 days existing, erythematous, isolated, roundish, sharply defined plaques with central blisters of about 4-5 cm diameter on the abdomen of a 20-year-old female patient; probably the skin changes are due to the intake of paracetamol.
Recurrent perianal dermatitis and vulvitis caused by A-streptococci. 36 year old patient.Fig. from Eiko E. Petersen, Colour Atlas of Vulva Diseases. With the prior approval of Kaymogyn GmbH Freiburg.
psoriasis vulgaris. plaque psoriasis. the 54-year-old patient has been suffering from this non-itching disease for about 30 years. he has given up treatment in the meantime. fully developed, untreated psoriasis vulgaris with 5.0-7.0 cm large, coarse plaques covered by firmly adhering scaly deposits, which give the plaques their white-grey colour. the plaques have a reddish edge (here the actual red colour of the plaques is not covered by scales).
Contact dermatitis allergic: Acute, itchy, sharply defined, clearly infiltrated red plaque on the face and neck as well as multiple, partly confluent vesicles in the décolleté area in a 43-year-old female patient after application of a skin care cream.
sarcoidosis: anular or circine chronic sarcoidosis of the skin. existing for about 5 years. onset with papules the size of a pinhead (see middle of the cheek) with appositional growth and central healing. no detectable systemic involvement. findings: asymptomatic, brown to brown-red, borderline, centrally atrophic, little infiltrated, confluent lesions in the face in several places.
Kaposi sarcoma epidemic or HIV-induced: Disseminated flat reddish-brown, surface smooth, symptomless plaques, characteristically located in the tension lines of the skin.
Tinea corporis: unusually elongated, large-area tinea corporis, pretreated for several months with a potent corticosteroid steroid externum; distinct itching on interruption of steroid therapy (existing for 8 months).
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