Urticarial vasculitis. 33-year-old female patient with distinct reduction of the az. 3 weeks of recurrent febrile attacks (CRP and SPA massively increased) and a distinct feeling of illness accompanied by a maculo-papular, moderately itchy exanthema. Histological: Evidence of a leukocytoclastic "small vessel vasculitis". The clinical differentiation from urticaria is possible by marking a persistent efflorescence for several days (marking test). Recurrent and changing arthritis.
Angioedema, acquired, renin-angiotensin-aldosterone system blocker-induced. Acute, bulging, elastic, edematous swelling of the entire lower lip and also slight involvement of the buccal mucosa. Occurs for the first time a few weeks after starting antihypertensive medication with an ACE inhibitor.
Solitary, acute, flat, moderately sharply bordered, hardly elevated, skin-coloured, little increased in consistency, strongly itchy, flat wheals localized on the right arm.
scleroderma circumscripts (plaque-type). large,circumcircumscribed, red-violet, smooth plaque with centrally embedded yellow-white indurations. the surface here is shiny like parchment. there is a feeling of tension. no pain. DD: scleroderma-like borreliosis!
Lateral view: Strongly pronounced hypertrophic scar formation and scar contractions, perioral in a 56-year-old female patient who had previously been treated on an outpatient basis with a phenol-containingpeeling formulation.
Naevus araneus: in the 43-year-old man there are isolated red spots, 0.1-0.2 cm in size, and red, smooth papules with a central arterial nodule and radiating capillary ectasia.
Dermatitis, phototoxic. detail enlargement: pronounced erythema on the fingers of the left hand. 2 x 1 cm measuring, flaccid bladder with clear content at the index.
Pemphigoid, bullous. general view: maximum exacerbated clinical picture on trunk and extremities of a 66-year-old female patient. Multiple, acute, generalized, symmetrical, flexurally accentuated, 0.3-1.0 cm large, isolated and grouped, partly hemorrhagic, bulging blisters on flat erythema and plaques. Older, healing blisters are partly burst open, eroded or encrusted.
Dermatitis solaris. almost universal, succulent erythema in a 30-year-old patient (skin type II) after intensive, several hours of sunbathing in the midday sun. accompanying strong sensation of heat, chills and circulatory weakness about 7 hours after exposure to the sun.
Klippel-Trénaunay syndrome: extensive vascular malformation with extensive nevus flammeus affecting the trunk and both legs. No evidence of soft tissue hypertrophies so far. No AV fistulas. Here detailed picture of the right hand.
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