Erythrokeratodermia figurata variabilis. very irregularly distributed, bizarrely configured, polycyclic, scaly plaques with alternating clinical expressivity and acuteness as well as very characteristic peripheral scaly ruffs (buttocks) in a 6-year-old boy. few symptomatic skin lesions existing since 2 years.
psoriasis palmaris et plantaris. hyperkeratotic changes in a 50-year-old office worker, existing for 5-6 years. painful rhaghades persisting for weeks at the edge of the heel, especially after jogging. never blisters or pustules. the inflammatory fringe at the edge of the keratosis is typical (but not proving) for psoriasis. clinical diagnosis "psoriasis plantaris" from this (mono)finding difficult. securing the diagnosis by clinical evidence of psoriasis at the contralateral heel, elbows and palms.
Nail hematoma: sharply distally limited discoloration of the big toe nail. nail matrix at the distal cutting edge unchanged. no longitudinal striation of the nail.
Condylomata gigantea:tumour-like or cauliflower-like nodes growing exophytic and locally infiltrating in the anal region; the viral acanthomas on normal skin are reminiscent of Verrucae seborrhoicae.
Psoriasis seborrhoeic type: for several months constant and therapy-resistant, only slightly elevated, homogeneously filled, symmetrical, red-yellow, slightly accentuated plaques, no type I allergies detectable.
Eczema, atopic. brownish, dry, scaly plaques on lichenified ground in the neck area of a 24-year-old female patient. infestation of the large joint bends as well as seizure-like, tormenting itching.
Light dermatosis, polymorphic. general view: Multiple, itchy, highly red papules, partly confluent to plaques, partly exudative vesiculously, partly cocardially at the décolleté in a 46-year-old man.
Basal cell carcinoma, destructive, since many years progressive, large-area, protuberant, foetid smelling tumor in a 100-year-old woman. Complete loss of the orbit, maxillary sinus, zygomatic arch and eyeball as well as partial loss of the glabella.
Angiokeratoma corporis diffusum: Disseminated, partly spatter-like, partly roundish 1-2 mm large, completely symptomless, red spots and papules in a 22-year-old man.
Acne keloidalis nuchae syn. folliculitissclerotisans nuchae: Survey picture: Since 6 years existing, rough, flat keloids occipitally in a 37-year-old colored patient of North African origin. the disease started about 10 years ago with small folliculitis. condition after several operative therapy attempts and after laser therapy about 2 years ago.
Syphilide, papular: multiple, disseminated, dense, small, reddish papules and nodules on a tanned integument in a 67-year-old patient; distinctly palpable, non-painful axillary and inguinal lymph nodes.
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