Drug reaction, fixed (detail). two red, sharply defined, moderately itchy plaques, existing for a few days. the peripheral areas are lighter in colour, tendency to blistering in the centre. irregular intake of headache medication known and admitted.
Pemphigoid, bullous. bulging, 0.4-1.2 cm large blisters on the buttocks of a 44-year-old man. In the picture on the right side an older blister is visible whose bladder cover has detached.
Dermatitis solaris: painful, extensive and painful erythema and blistering, clearly marked on areas exposed to sunlight, following several hours of exposure to the sun.
Artifacts: Multiple weeping ulcers without apparent reason, non-itching flat ulcers up to 3.0 cm in diameter in an otherwise completely healthy patient.
Eczema, atopic. chronic, recurrent itchy red spots and slightly raised, flat, rough red plaques on the back of the left hand, the back and the side edges of the fingers of an 8-month-old girl. Furthermore multiple, disseminated, partly crusty scratch excoriations and isolated rhagades are visible.
lupus erythematodes chronicus discoides: 13-year-old otherwise healthy patient. skin lesions since 6 months, gradually increasing, no photosensitivity. several, centrofacially localized, chronically stationary, touch-sensitive (slight pain when stroking with a wooden spatula), red, slightly scaly plaques. histology and DIF are typical for erythematodes. ANA and ENA negative.
Basal cell carcinoma nodular: Irregularly configured, hardly painful, borderline red nodule (here the clinical suspicion of a basal cell carcinoma can be raised: nodular structure, shiny surface, telangiectasia); extensive decay of the tumor parenchyma in the center of the nodule.
dermatomyositis. red-violet, slightly itchy, flat. blurred erythema in the décolleté and on the lateral parts of the neck. general fatigue and muscle weakness.
Psoriasis vulgaris. abbortive form with infestation of the nostrils on both sides. The clinical picture is clinically relevant in that rhagades and pain occur. Local therapy is laborious.
Vascular (capillary) malformation (naevus flammeus): Congenital, generalized, symptomless, spotty erythema on the face and trunk in a 9-year-old boy, developed according to age.
Anticonvulsant hypersensitivity syndrome. 4 weeks after the start of anticonvulsant therapy suddenly appeared, severe clinical picture with fever and exanthema, generalized lymphadenopathy, increase in liver values, leukocytosis with neutrophilia as well as eosinophilia. Uniform, scaling, painful facial redness.
Hemangioma of the infant. 8-month-old infant has a slowly growing, livid-red, soft, smooth nodule in the region of the bridge of the nose. Phase proliferation, growth arrest and regression.
Lymphomatoid papulosis: chronic, relapsing, completely asymptomatic clinical picture with multiple, 0.3 - 1.2 cm large, flat, scaly papules and nodules as well as ulcers. 35-year-old, otherwise healthy man
Subungual squamous cell carcinoma: The slowly growing (> 2 years) verrucous nodule, which was initially interpreted as a "wart", had grown from the subungual zone to the tip of the thumb and the entire subugual nail area during this time. In the meantime painful suppurations of the nail bed occurred repeatedly.
Lichen planus (classic type): for several months persistent, red, itchy, polygonal, partly confluent, red, smooth, shiny (in places anular) papules on the trunk.
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