Contact dermatitis toxic: Detail enlargement: Severe hyperkeratosis on reddened skin as well as isolated small rhagades and erosions on the left ankle of a 46-year-old patient.
Lichen planus. in a 34-year-old man there are whitish, partly circulatory smooth plaques in the area of the glans penis and the prepuce. in addition, there is a white reticular structure of the buccal mucosa of the cheek.
Lupus erythematodes chronicus discoides: succulent, hyperesthetic plaque with adherent scaling, 2.7x3.2 cm in size, existing for 4 months, no evidence of systemic LE. DIF with typical pattern.
Erythema chronicum migrans. 49-year-old female patient. skin lesions since 4-5 months. 22 cm in diameter, in the centre bright, at the edges clearly more reddened spot with a smooth surface. no subjective symptoms. in the upper third on the left side a small, more reddened papule is visible (bite site of the tick).
Xanthogranuloma juveniles (sensu strictu). soft elastic, yellowish, completely asymptomatic, hardly elevated plaques. no Darier's sign! 10-month-old female infant with multiple xanthogranulomas. size growth in the first months of life.
Psoriasis: Mosaic dermatosis with expression of psoriatic plaques in the Blaschko lines (right shoulder in band-shaped pattern) and on the right half of the back as a so-called pyhloid pattern (see following schematic pattern).
psoriasis palmaris et plantaris. sharply defined, clearly infiltrated, rough plaques with coarsening of the skin field. redness accentuated in the marginal area. extensive (parakeratotic) scaling. this finding is typical of non-pretreated psoriasis plantaris.
Dermatitis chronic actinic (type actinic reticuloid): Large-area, severe itching, eczematous clinical picture of the face, which appeared in spring after a short UV exposure and now persisted for several months. Massive lichenification of the skin (see radial lip furrows) as an expression of the chronic inflammatory remodelling of the thickened skin.
Dermatitis contact allergic: Acutely appeared, large red spots and plaques with rough, partly scaly surface as well as haemorrhagic vesicles in an 18-month-old boy. The skin changes occurred a few hours after extensive application of a cream containing lidocaine.
Transitory acantholytic dermatosis (M.Grover): a few weeks old, only moderately pruritic clinical picture with disseminated papules and also papulo vesicles; Nikolski phenomenon negative.
Psoriasis guttata: mixed picture between psoriasis guttata with numerous "fresh" small psoriatic lesions and coin-sized psoriatic plaques existing for a long time
Poikilodermia vascularis atrophicans: 72-year-old patient with a slowly progressive, varicolored-checked clinical picture of the skin, which has been present for > 15 years. the varicolored-checked skin is caused by reticular or stripe-shaped erythema and plaques. reticular or flat brown discoloration (hyperpigmentation) is also found. present is a "poikilodermatic mycosis fungoides".
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