Melanoma malignes (Lentigo maligna melanoma): a brown, now black raised area (plaque) that has existed for years with imperceptible growth; no subjective complaints.
Chilblain lupus: in early stage with livid-red, surface smooth, painful plaques. clinical picture reminiscent of chilblain (frostbite lupus). no further systemic signs of lupus erythematosus. hyperkeratotic nail folds.
Lupus erythematodes chronicus discoides: bizarrely limited white (follicular) scar with injected red scaly plaques with atrophic surface, adherent scaling; beginning mutilation of the auricular cartilage as a sign of deep-reaching inflammation.
Lichen sclerosus of the penis:extensive sclerosing of the prepuce with verrucous whitish plaques. from this point of view a rather discreet infestation of the glans penis can be assumed, recognizable by the blurred white-mirrored surface of the glans. see the following picture!
Dermatitis, seborrhoeic: 62-year-old patient with a negative family history of psoriasis. recurrent HV on the trunk for years. no itching. multiple, chronically inpatient, figured, borderline, sometimes itchy, moderately scaly, clearly borderline hardly elevated plaques.
Morphea type or plaque type of circumscribed scleroderma: slightly idurated irregularly bordered white plaque with a parchment-like, scale-free surface; discreet, light red rimythema.
Kaposi's sarcoma epidemic: Dissemination of the angiosarcoma in the skin. Characteristic arrangement of the foci in the cleavage lines. In places the foci merge into larger plaques.
Lichen sclerosus of the vulva: pronounced lichen sclerosus with extensive whitish sclerosing of vulva, perineum and anus (circle). On the left side a "confetti-like" dissected marginal zone is marked. On the right side the arrow indicates a verrucous transformation of the lichen sclerosus.
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