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).
Nummulardermatitis (nummular/microbial eczema): Chronically active, 8-week-old, approx. 6 cm large, brownish, raised, partly eroded, partly crusty plaque on the back of the foot in a 54-year-old man. The surrounding skin is reddened.
Eczema, dyshidrotic: Chronic recurrent, slightly infiltrated, sharply defined red plaque on the right foot; reddish-brown, sometimes scaly, dot-shaped, older white scaly papules appear in places where water clear vesicles were previously present.
lupus erythematosus acute-cutaneous: clinical picture known for several years, occurring within 14 days and still with relapsing course at the time of admission. in contrast to the anular pattern on the trunk, irregular, blurred red plaques. in the current relapsing phase fatigue and exhaustion. ANA 1:160; anti-Ro/SSA antibodies positive. DIF: LE - typical.
Lichen planus (classic type): extensive infestation of the soles of the feet. At the treads, the (classic) morphological structure of the LP is no longer recognizable due to an even confluence of efflorescences. In the area of the hollow foot, diagnosis per aspect is possible.
Erysipelas. acutely appeared, blurred, laminar redness and swelling, on the right side nasal and paranasal in a 64-year-old woman; accompanied by a slight temperature rise and chills.
Nummular dermatitis: Extensive nummular lesions that havebeen present for several months with blurred, considerably itchy papules and confluent plaques. No hinwesi for psoriasis. No evidence of atopic diathesis.
Airborne Contact Dermatitis: Chronic, massively itching and burning, lichenified dermatitis, which is limited to the freely carried skin areas. Lower boundary only blurred (leaking eczema foci), a typical feature of contact allergic eczema. Retroauricular region is also affected.
Calciphylaxis, cutaneous. 13-month-old, chronically progressive, painful, coarse, partly ulcerated, red to livid plaques on the lower leg of a 58-year-old woman. The surrounding area is partly changed in a livedo manner.
Sebaceous nevus: 25-year-old man; the reddish-brownish plaque, interspersed with whitish papules, was completely painless since birth; the excision was performed without complications and without spindle; a sebaceous nevus could be histologically confirmed.
Nummular dermatitis: Detail enlargement: Sharply defined, 2-6 cm large, inflammatory reddened, coin-shaped plaques on the left shoulder blade in a 7-year-old girl.
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