squamous cell carcinoma of the skin: advanced ulcerated carcinoma. previously misinterpreted as a venous ulcer. the carcinoma is palpated as a very firm, little pain-sensitive (!) node, which is hardly movable on its base. a sentinel lymph node biopsy proved negative (no tumor infestation).
lupus erythematosus acute-cutaneous: clinical picture known for several years, occurring within 14 days, at the time of admission still with intermittent course. anular pattern. in the current intermittent phase fatigue and exhaustion. ANA 1:160; anti-Ro/SSA antibodies positive. DIF: LE - typical.
Teleangiectasia macularis eruptiva perstans. 54-year-old patient with a generalized macular clinical picture which has existed for years and shows a constant progression. Itching in case of heat exposure and mechanical exposure of the affected areas.
Scleromyxedema. 52-year-old patient shows a diffuse thickening and discreet reddening of the facial skin. Especially in the area of the glabella there is a bulging overlapping thickening of the skin folds.
Cheilitis simplex. radial rhagades on altogether dry lips. In case of a proven atopic diathesis the cheilitis shown here is considered as monosymptomatic atopic eczema (Cheilitis atopica).
Panaritium, which developed in an HIV-infected patient approximately 3 months after a previously successful antiretroviral therapy with the protease inhibitor indinavir.
acrodermatitis chronica atrophicans. 57-year-old female patient. skin changes existing for five years now, clearly increasing for half a year, discoloured red-blueish in cold weather. large, blurredly limited, symmetrical erythema (completely anaemic). the skin surface is wrinkled in the breast area (atrophic), otherwise smooth. some splatter-like white discolorations.
Acne, steroid acne. general view: For 4 months persistent, disseminated, 1-4 mm large, reddish papules in a 20-year-old patient who has been systemically treated with glucocorticoids for years because of an underlying vasculitic disease. dose at first manifestation of the skin changes: 40 mg prednisolone p.o.
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