Lupus erythematosus, subacute-cutaneous: progress photo; recurrent relapsing activities, here picture taken after a 6-year course of the disease; ANA+; anti-Ro Ak+.
Lichen planus exanthematicus: an itchy exanthema that has existed for about several months with barely pinhead-sized, slightly raised, partly isolated but also aggregated to larger plaques, smooth, shiny, red papules.
angiofibroma of the oral mucosa: nodularly distended angiofibroma of the oral mucosa. no signs of inflammation, no indication of malignancy. no relevant complaints. differential diagnosis is a mucosal granuloma after bite injury. image from the collection of Dr. Michael Hambardzumyan
Pyoderma gangraenosum. chronic progressive, painful, large-area, blue-reddish, slightly raised, approx. 5 x 4 cm large, ulcerated plaque with painful marginal zone and dark red-livid rim on the lower leg of a 36-year-old female patient with ulcerative colitis. on pressure emptying of pus and blood.
Ulcus cruris arteriosum: very painful ulcer that has existed for about 1 year, is extremely resistant to therapy, sharply defined, as if punched out, and is known to have a history of smoking with PAVK.
Purpura pigmentosa progressiva. acute episode with dense distribution of punctiform, red, non-push-off spots (bleeding). in addition, extensive brown coloration (hemosiderin deposition) in the area of the lower legs.
Paget, M., extramammary. detail magnification: Sharply defined, large-area, eroded, macerated, focal ulcerated, livid-reddish, non-itching, non-painful infiltrated erythema of vulva, perineum and perianal region of a 90-year-old female patient.
Myxoedema pretiabiales: circumscribed, blurred, yellowish-reddish, firm, hardly compressible, otherwise symptomless swellings; here a partial symptom of Graves' disease; typical is the orange peel-like surface of the swelling.
Porphyria cutana tarda: discrete finding with which the disease initially presents itself. after banal traumas subclinical blisters develop. here residuals with erosions and shallow ulcerations
Dermatosis acute febrile neutrophils: acute, exanthematic clinical picture with affection of face, neck, trunk and extremities; here section of the neck with red, succulent papules and plaques.
Teleangiectasia macularis eruptiva perstans. 58-year-old patient with a generalized, spot-like clinical picture which has existed for years and shows a constant progression. Itching during sweat-inducing efforts and mechanical exposure of the affected skin areas. Bizarre teleangiectatic vascular convolutions are characteristic.
LIddermatitis atopic: severe chronic atopic dermatitis of the eyelid (eczema of the eyelid). permanent itching. recurrent conjunctivitis. doubling of the row of eyelashes (lower eyelid) with broken eyelashes, chafing effect with resulting chafing of the eyelashes on the cornea. therapy: Besides the symptomatic "eczema therapy" a radical surgical removal of the eyelashes is recommended in this case.
pemphigus chronicus benignus familiaris. multiple, chronically dynamic (very changeable course with weeping), large, red, rough plaques in the armpit area, interspersed with multiple fissures. pronounced foetid smell. diagnostically path-breaking, lineal and punctiform erosions when stretching the skin. nikolski phenomenon I + II positive.
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