Nodular malignant melanoma (amelanotic). 5 months ago first noticed, cherry-sized, slowly size-progressive, superficially completely eroded, moderately shifting, sharply defined nodule with a reddish to skin-colored coloration (right outer ankle of the foot) in an 83-year-old female patient (TD: 5 mm; Clark level IV, pT4b N0 M0; AJCC IIC).
Granuloma pyogenicum (pyogenic granuloma) Acute, dynamically growing for 4 weeks, 0.6 x 0.5 cm in size, touch-sensitive or painful, bluish-livid, shiny, smooth nodule, partly covered with haemorrhagic crusts; a previous trauma is recalled.
Eczema atopic photoaggravated: 72-year-old female patient with a known, less active, chronic atopic eczema. 1 year ago the patient noticed an increasing "sensitivity to light". The present UV-triggered exacerbation with pronounced itching (after a somewhat longer walk in summer sunshine) has persisted for 3 months. Despite local treatment with a class II steroidal extender it proved to be resistant to therapy.
larva migrans. chronic dynamic disease, which appeared 3 weeks ago after a holiday in kenya. multiple, irregularly distributed, sharply defined, linear, strongly itching, firm, red, smooth papules, localized on the buttocks. in the marker test the anterior end of the duct grows 1-2 cm daily.
Naevus flammeus lateralis: Sharply limited livid-blueish spot with increasing deepening of the colour in the area of the lateral upper lip and philtrum.
Lichen simplex chronicus. detail enlargement: Strongly itchy, 0.1-0.2 cm large, solid, sharply defined, flat, skin-coloured to reddish papules and plaques as well as scratch excoriations.
Glossitis rhombica mediana: Chronic inpatient, painless, slightly raised, sharply defined, red lump in the middle of the back of the tongue in a 50-year-old patient, existing since birth.
Pityriasis lichenoides chronica: 19-year-old, otherwise healthy patient with a papular exanthema which has been present for 1 year and runs intermittently.
Squamous cell carcinoma of the skin: approx. 3 cm in diameter, coarse, crusty, exuding tumour with an inflammatory reddening of the edges in the area of the neck of a 95-year-old female patient, which empties purulent secretion under pressure.
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