Nodular basal cell carcinoma in Xeroderma pigmentosum: solitary, broadly based, firm, painless, centrally ulcerated nodule. On the edge of the basal cell carcinoma-typical shiny margin. Note: the extensive scarring is a consequence of the underlying disease.
nevus, melanocytic, halo-nevus. overview image: periumbilical localized halo-nevi, whose size has not changed in the last years. similar skin lesions were found on the patient's back.
Lupus erythematodes chronicus discoides. 15 years of persistent and, despite disease-adapted therapy measures, constantly progressive skin changes in a 64-year-old patient. Large scar plate with marginal and intralesional erythema as well as isolated flat ulcers (currently covered with crust).
Dermatoliposclerosis in a known chronic venous insufficiency with superimposed erysipelas, which is indicated by the finger-shaped extensions which protrude at the right margin of the picture (lymphangitic spread).
Sézary syndrome: 62-year-old patient. 1 year ago first skin changes with uncharacteristic moderately itchy erythema on the trunk and extremities. Findings: Erythroderma with extensive edematous swelling of the skin; massive pruritus; taut lower legs; massive lymph node packages of the groin.
REM-syndrome. 1.5-year-old female patient with a reticular to planar, frayed, light red, temporarily itchy, urticarial erythema, papules and plaques in the décolleté area. The red colouring of the lesion is alternately strong and shows a clear deterioration after sun exposure.
Sweet syndrome: reddish-livid, succulent, pressure-dolent, infiltrated, solitary and partly papules confluent to plaques, on the right side of the body in a 47-year-old female patient. 1 week before the onset of the disease intake of Cotrimoxazol due to a urinary tract infection. temperatures > 38 °C.
Nummular Dermatitis: General view: One year ago, for the first time, massive itching, initially papular, later plaque-shaped skin changes on the entire integument with emphasis on the extremities, trunk and buttocks of a 77-year-old woman.
Contact dermatitis allergic: Acutely appeared, large red spots and plaques with rough, partly scaly surface as well as haemorrhagic vesicles in an 18-month-old boy. The skin changes occurred a few hours after extensive application of a cream containing lidocaine.
Pseudolymphoma of the skin: non-itchy, surface-smooth, reddish-brown papules and plaques on the left shoulder blade region; histological: non-clonal lympho-reticular proliferation, without epidermotropy.
Angiokeratoma circumscriptum: vascular malformation existing since birth, which has become increasingly prominent in recent years; apart from slight accidental bleeding, no symptoms.
infant haemangioma. raised above the skin level, deep red, raspberry-like furrowed, flat raised area of rubbery to sponge-like consistency. tendency to pronounced growth has not existed for 8 months. clear signs of regression are already visible.
Psoriasis pustulosa generalisata. eruption of sterile pustules on extensive erythema in the area of the trunk. multiple, partly extensive erosions and whitish macerations. secondary findings are high temperatures, reduced general condition, leucocytosis.
Candia-Balanitis: acute (within 1 day) after GM, itchy, flat erythema and plaques, papules and vesicles; healing within 1 week after consistent local antimycotic therapy.
acrodermatitis chronica arophicans. early stage of acrodermatitis chronica atrophicans with still (clearly) recognizable border of the erythema chronicum migrans (proximal thigh). the lower half of the lower leg is clearly more strongly reddened, flat doughy indurated. no painfulness. no painful lymphadenitis. still (!) no atrophy of the surface epithelium detectable.
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