Nevus melanocytic more common: dermal n evoid melanocytes with monomorphic nucleus and only a few single nucleoli in here neuroid cytomorphological features with a wider pale eosinophilic cytoplasmic border
Lichen sclerosus et atrophicus. extensive extragenital 'infestation with typical "leathery" changes of the skin surface due to a distinct orthohyperkeratosis in the fallen areas. the areas are brightly discolored due to orhtohyperkeratosis and the underlying "edema zone". thus the natural color of the area is lost.
Favus. solitary, acute, approx. 3.0 x 2.5 cm, acutely acute, approx. 3.0 x 2.5 cm in size, localized on the capillitium, sharply defined, plumply raised, clearly increased in consistency, white, rough, with yellow crusts, asymptomatic plaque in a 7-year-old boy. A slight mouse urine smell was noticed during the examination.
Lichen planus verrucosus. highly itchy, verrucous plaques on the left lower leg, which have remained unchanged for years. a red-violet seam is visible in the marginal parts of the plaques.
Pityriasis rosea: Collerette scaling: For Pityriasis rosea pathognomonic form of scaling with exactly one ring of fine, slightly raised, whitish scaling about 1-2mm indented from the lateral edge of the reddish plaque.
Note: this form of "keratolytic" desquamation results from the repulsion of superficial, parakeratotic horn lamellae.
Erythema gyratum repens. chronic dynamic (changeable course for several months), linear, symptom-free, red, rough, slightly elevated linear plaques due to confluence and peripheral growth, which convey a grained overall aspect.
Cutaneous mosaic dermatosis: In a 7-year-old girl erythematosquamous, hyperkeratotic papules and plaques exist in a linear and planar arrangement since birth.
Eczema, atopic. 18-year-old female patient with recurrent retroauricular, strongly itchy, reddish, scaly patches, plaques and rhagades for several years. Multiple immediate type sensitizations exist in case of a positive family history.
tinea pedis "moccasin type": little inflammatory mycosis of the foot. arrows indicate the proximal extensions of the mycosis on the back of the foot. the encircled scaling is also induced by mycosis.
Psoriasis palmaris et plantaris (plaque type): A minus variant with affection of the acral thumb area, forming deep and painful (therapy-resistant) rhagades.
Tinea barbae. scaly, blurred, itchy erythema (incipient plaques) on the cheek and upper lip. erythema areas are sparsely interspersed with follicular papules and pustules.
Naevus sebaceus: Hairless spot (plaque) existing since birth in the capillitium of a 4-year-old boy with progressive yellow coloration and increasing thickness growth in the last months.
Adnexal carcinoma, microcystic. skin colour to yellowish, rough plaque, difficult to delimit, with superficial telangiectasia and atrophic, shiny surface.
Exfoliatio areata linguae. for several years alternating, map-shaped, plaque free, red, smooth areas. light burning with acidic food (e.g. fruit juices)
psoriasis seborrhoeic type: recurrent, location-constant and therapy-resistant "seborrhiasis" for several years. no like for atopic disease. extensive infestation of face and capillitium. itching and feeling of tension. note: in case of such an extensive infestation a systemic therapy is recommended (e.g. MTX, alternatively Fumarate).
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