lupus erythematosus acute-cutaneous: clinical picture known for several years, occurring within 14 days, at the time of admission still with intermittent course. anular pattern. in the current intermittent phase fatigue and exhaustion. ANA 1:160; anti-Ro/SSA antibodies positive. DIF: LE - typical.
Psoriasis seborrhoeic type: Chronic recurrent, sharply defined red spots and plaques, which are localized in the chest area of a 70-year-old man and run along the anterior sweat channel.
psoriasis palmaris et plantaris (pustular type): extensive erythema of the entire palm. sharply limited towards the wrist. mixed type with numerous pustules and dyshidrotic vesicles. coarse lamellar desquamation.
Differential diagnosis "candidiasis intertriginous" : present psoriasis intertriginosa: infection-related acute relapsing activity of a long term known psoriasis vulgaris.
transient acantholytic dermatosis. detail enlargement from previous overview. initial papules, about 1-2 mm in size, deep red with slightly eroded, occasionally scaly surface, characterize the picture. in addition, older plaques (top right) resulting from confluent papules with slight marginal scaling are visible. the nikolski phenomenon is negative.
Lupus erythematodes tumidus: Plaques existing for 3 months, localized on the back and face, irregularly distributed, sharply defined, 0.2-3.0 cm in size, flatly raised, clearly increased in consistency, slightly sensitive, red, smooth plaques; no significant scaling.
lupus erythematosus acute-cutaneous: symmetrical red spots, patches and plaques on the face, neck and upper trunk areas, which have been present for several weeks. typical is the perioral recess. note: lip lesion corresponds to a herpes simplex lesion.
Anular sarcoidosis: anular or circulatory chronic sarcoidosis of the skin. existing for several years. onset with small symptomless papules with continuous appositional growth and central healing. no detectable systemic involvement .
Eczema atopic in childhood: impetiginized (detection of Staphylococcus aureus) chronic auricular rash in an 8-year-old boy with previously known atopic eczema; furthermore: seasonal atopic rhinitis and conjunctivitis.
Squamous cell carcinoma in actinically damaged skin; for more than 1 year, slowly growing, bowl-shaped, very firm, little pain-sensitive, ulcerated lump, which (at the time of examination) was no longer movable on its base.
Lichen planus (classic type): pronounced infestation of the palms. infestation of the palms by confluence of papules and plaques. the nodular structure is especially visible in the peripheral areas.
Paget, M. of the nipple. unilateral, symptom-free, therapy-resistant, red, painless, slowly growing plaque of the nipple existing for several months. In the meantime, extensive infiltration of the skin beyond the areola. Previously, there was an erythema of the nipple which did not heal under an anti-eczematous therapy.
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