Ulcus cruris venosum. ecthyma-like, infected (Pseudomonas aeroginosa) ulcers with yellowish-greenish or brownish coatings in an immunocompromised, 78-year-old patient with CVI. severely inflamed wound edges. the development of the ulcers is initially due to stabbing reactions about 15 months ago. the sutures shown are residuals of the previously performed biopsies.
Syphilis: papular syphilis of the soles of the feet. loosely distributed reddish-brown scaly, symptomless papules on both palms. these changes are a section of a generalized papular exanthema.
Eczema, atopic: disseminated clinical picture with chronically stationary, blurred, itchy and painful, rough plaques, here infestation of the neck region.
Hidradenitis suppurativa, a widespread and progressive condition with papules, pustules, nodules, indurated, ductal fistulae and consecutive chronic lymphedema.
venous leg ulcer. chronic, sharply defined ulcer in the region of the medial aspect of the right ankle. distinct flat tissue hardening of the surrounding area. picture of atrophie blanche in CVI. there is a broad hyperpigmented band on the back of the foot.
Bowen's disease with transition to Bowen's carcinoma: solitary, size-progressive plaque that has been present for several years, occasionally accompanied by itching, sharply and arc-shaped, border-emphasized plaque with increasing verrucous knot formation (white encircles the zone with the beginning invasive growth).
severe zoster ophthalmicus. right-sided headache increasing for 5 days with accompanying feeling of illness. redness and swelling of the skin with stabbing, shooting pain for 3 days. extensive erythema and swelling. skin is highly sensitive to touch. no fever. no leukocytosis.
Arthritis urica: suddenly (overnight) very painful (walking only possible with difficulty) redness and swelling of both metatarsophalangeal joints of the big toe, both 3rd toes as well as collateral of the left back of the foot (here no significant pressure pain). Known hyperuricemia
Basal cell carcinoma superficial: for several years existing, slow-growing, symptomless red plaque with a slightly marginalized border and central crustal formations; detailed picture of the distal part with internal nodular formation and incrustations.
melanoma malignes amelanotic: since earliest childhood a pigment mark has been known at this site. continuous growth for several years. for half a year extensive ulceration of the node. constant bleeding and oozing. the diagnosis cannot be made on the basis of the clinical picture.
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