Pityriasis lichenoides chronica: 16-year-old, otherwise healthy patient, with a polymorphic papular exanthema on the trunk and extremities, which has been present for several months and is intermittent. no itching. no other symptoms. the lesions heal with a delicate depigmented scar.
Mycosis fungoides: Plaque stage. 53-year-old man with multiple, disseminated, 1.0-5.0 cm large, in places also large, moderately itchy, clearly consistency increased, red rough plaques. development over 4 years.
Erythema chronicum migrans: Oval, slowly growing, completely symptom-free, red-brown, homogeneously filled stain, slightly darkened in the centre. persists for about 2 months. healing under 2-week therapy with doxycyline (200 mg). stain was still visible 6 months after completion of antibiotic therapy.
Syphilis acquisita: two sharply defined, surprisingly coarse, completely indolent, red, yellowish ulcers in a 32-year-old husband that have been present for 14 days; secretion of an irritant secretion; indolent regional lymphadenitis (Bubo).
Hemangioma of the infant. 0.9 x 1.2 cm measuring cherry red spot in the fingertip area on digitus II of the left hand of a 3-month-old infant. At birth a discrete red spot already existed in the area of the lesion which has since increased in color and size.
Artifacts: multiple, non-itching, flat, pyodermic ulcers up to 2.0 cm in diameter in an otherwise completely healthy patient, occurring anew without apparent reason. the new occurrence of skin changes cannot be plausibly justified. reasons different and not comprehensible. manipulation is strictly negated.
Dermatitis perioralis. perioral localized, flat redness (compare the surrounding normal skin), follicular papules and individual pustules. clinical picture in a 22-year-old Ethiopian woman after several months of therapy with a glucocrticoid ointment.
erysipelas. solitary, acutely occurring, extensive, sharply defined, red plaque and bulging blisters with serous content in the area of the lower leg. in this case, the entry portal was a macerated tinea pedum. fever and chills, lymphangitis and lymphadenitis also exist.
sarcoidosis: subcutaneously knotty form of sarcoidosis. recurrent course for several years. development of slightly pressure-painful nodules in the subcutaneous fatty tissue. known lung sarcoidosis stage II. skin findings: subcutaneously located, bulging nodules and plates, which can be clearly distinguished from the surrounding area and can be moved on the support. the skin above is partly reddened (see figure), partly unchanged.
Airborne Contact Dermatitis (course of therapy): The 54-year-old florist noticed an increasing itching and burning of the entire facial skin, the back of the hands and wrists during a "normal" working day at lunchtime. In the evening hours, the entire facial skin was reddened over the entire surface, swollen and itching severely, so that the emergency medical service had to be consulted.
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