Erysipelas. painful redness and swelling of the left foot in a 65-year-old man with fever. In addition, in the corresponding lymph drainage area of the groin region single enlarged lymph nodes can be palpated.
Parapsoriasis en plaques large-heart poikilodermatic: a sympothless, slowly progressive clinical picture that has existed for several years, with poikilodermatic changes consisting of reticular lichenoid, pityriasiform scaling, papules and plaques and central atrophy of the skin.
Candida granuloma. chronic recurrent nodular cutaneous-subcutaneously localized, deep-reaching, livid inflammatory foci on the wrist of an immunocompromised, 28-year-old patient. abundant C. albicans detectable in the smear. development of new nodules despite oral antimycotic medication. partial healing leaving post-inflammatory pigmentation.
Purpura pigmentosa progressiva: etiologically unexplained (medication?) pronounced clinical picture that has been changing for several months with symmetrically distributed, disseminated, non-itching, yellow-brown, spots.
Ulcus cruris arteriosum: chronic, slowly progressive, painful, deep, sharp-edged ulcer located in the area of the lower leg clitoris, measuring approx. 5.5 x 3.5 cm. The periulcerous area is reddened and overheated. The patient suffers from a PAVK of the multi-level type and has been a heavy cigarette smoker for 30 years.
Balanitis plasmacellularis: chronic balanitis in a 62 year old patient. no other skin diseases known. no diabetes mellitus. slight urinary incontinence in case of prostate hyperplasia. sharply defined, slightly raised red plaque. no significant symptoms.
Hand-foot-mouth disease. few, acute, painful, polygonal vesicles with a red courtyard. unspecific flu-like prodromies that had persisted about 2 weeks before.
Lichen sclerosus extragenitaler: Progressive lichen sclerosus for 2 years with a clearly sunken scarring of the lower lip and chin; surrounding, flat, blurred, clearly consistent plaque with a red-white coloration in the chin area (here the clinical features of the lichen sclerosus are visible).
ecchymosis syndrome, painful, intermittent manifestation of painful skin bleeding in a 48-year-old man. initial development of oedematous, overheated, pressure-sensitive erythema. subsequent development of skin bleeding and slow expansion of the skin changes. scarless healing after 1-2 weeks. in the present case, there was a severely pronounced clinical picture with multiple accompanying symptoms, especially fever, weight loss, fatigue, muscle and headaches, arthralgia, epistaxis, haemoptysis and haematuria.
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