Typical - butterfly pattern - with free perioral triangle. Bridge of nose, lips (chronic cheilitis) are also affected. Furthermore: Raynaud's phenomenon; disturbance of the AZ, arthralgia.
Chronic cheilitis in lupus erythematosus chronicus discoides. Chronically active, red, hyperesthetic plaques with adherent scaly deposits on the red of the upper and lower lip.
Nodular or nodular basal cell carcinoma. Relatively inconspicuous, non-symptomatic, red nodule with a smooth surface (see reflected light image as inlet). The bizarre (tumor) vessels of the basal cell carcinoma become visible in reflected light.
Hyalinosis cutis et mucosae, detailed picture: protruding papillae of the tongue, which are aggregated in the posterior part of the tongue to form verrucous beds.
Dermatosis acute febrile neutrophils: acute, exanthematic clinical picture with affection of face, neck, trunk and extremities; here a detailed picture of the thighs with red, succulent papules.
AL-amyloidosis in smoldering myeloma. 77-year-old patient with recurrent ecchymosis of the periorbital region, clinically corresponding to a hematoma of the eyeglasses. These characteristic skin lesions are called "raccoon sign". Further purple skin lesions are found in the neck and retroauricularly. The bone marrow biopsy showed a smoldering myeloma (infiltration of plasma cells at 15%).
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