Pyodermia vegetans: General view: Clearly putrid, round ulcerations as well as crusts and punctual hyperpigmentation on the right lower leg of a 17-year-old Indian woman.
Dorsal cyst, mucoid: dorsal cyst existing for months. burst a few days before, evacuation of a clear mucous fluid. severe onychodystrophy limited to the cyst circumference with tub-like, irregular depression of the nail organ.
Acute contact allergic eczema with scattering reaction after application of a gel containing diclofenac; linear patterns (Koebner phenomenon) in the upper third of the dermatitis.
Reticulosis, pagetoid (disseminated type Ketron and Goodman): For several years slowly migrating, partly anular, partly garland-shaped, little itchy, brown-red, only minimally elevated, broadly margined plaques with parchment-like surface.
Tinea corporis in immunodeficiency. 24 x 18 cm large, chronic (>12 months), anular, not pre-treated, itchy plaque (inlet: marginal zone enlarged) with delicate Collerette-like marginal scaling.
Basal cell carcinoma, superficial, supposedly only existing for 1/2 year, which was treated as mycosis. Sharply demarcated to the surrounding skin, not itchy (!), reddish-brown, only moderately indurated plaque, with interspersed erosions and crustal deposits. On the left and at the bottom a slight walllike border is detectable; clinical indication of a basal cell carcinoma. Finally the classification is only possible by histological examination (3 mm punch biopsy is sufficient).
Lichtermatosis polymorphic: Occurrence of clinical symptoms a few hours to days after (single and first-time) intensive sun exposure with itching and burning, disseminated papules and papulo-pustules also papulo-vesicles.
Dermatitis, seborrheic: Chronic, therapy-resistant, psoriasiform seborrheic eczema in a 63-year-old patient; no other clinical evidence of psoriasis vulgaris.
facial granuloma: red lump, existing for 5 years now, slowly progressing in size and limited in size. small secondary plaques in the surrounding area. histological findings characterized by increasing fibrosis. findings 2 years later (see initial findings in fig., before). treatment with fast electrons. after that clear regression. no further progression. note smooth surface relief. no follicle drawing.
Angioma, senile. 55 years old female patient, in whom this finding has existed for two years. Size progressive, soft, spongy, flat raised, 0.8 x 0.6 cm large lump with a fielded surface.
Lupus erythematosus, subacute-cutaneous. general view: multiple, solitary or confluent, small to large foci, sharply defined, partly homogeneous circular, partly also anular and gyrated, plaques with scales and crusts, trunk and extremities. 68-year-old female patient.
Spider veins: Dark blue-red, 0.5-1.0 mm thick, tortuous dilated venules with irregular, ampulla or nodular ectasia on the medial left thigh of a 69-year-old woman.
Relapsing activity in chronic psoriasis: psoriasis known for a long time. 4 weeks (post-infection) of clear relapsing activity with small papules and plaques. Itching.
Keloid: discontinuous, bulbous, prominent, livid-red elevations not extending beyond the scar area in the area of the sternotomy scar in a 64-year-old man, 6 years after bypass surgery. Furthermore, in the lower pole of the scar there are two folds of approx. 5 cm length running transversely to the scar. In the area of the lower scar strand, partly lighter parts, partly depressions of the prominent bulbous scar parts, partly strictures are visible.
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