Erythema chronicum migrans. large plaque, which has been growing steadily on the periphery for about 8 months, only slightly increased in consistency, homogeneously brownish in the centre, somewhat atrophic, marked by an increasingly consistent erythema zone at the edges. only occasionally "slight pricking" in the lesional skin.
Erythema anulare centrifugum: multiple, chronically active, centrifugally growing, ubiquitous (here localized at the trunk), slightly itchy, red, rough, scaly, solid, anular plaques. The edges of the plaques are palpable like a wet "wool thread". There is a recurrent intestinal candidosis in the shown case.
Leishmaniasis, cutaneous. 0.8 x 0.5 cm measuring, coarse, not pressure-sensitive, not painful, livid, sharply defined, circumscribed lump in the area of the lower lip in a 37-year-old man. Stinging event by an insect about 10 months ago on holiday in Greece was recalled. About 3 months later the development of the skin change began.
Exfoliatio areata linguae: Chronically dynamic, since 5 years alternating, map-shaped, coating-free, red, smooth areas, which are delimited by a raised and whitish swollen rim.
Hand dermatitis: chronic, dyshidrotic dermatitis of the hand; coarse lamellar desquamation of the palm after an acute flare of the dermatitis has subsided.
In the area of the forefoot and the digites I and II, a foul-smelling, yellowish-smeary ulceration extending to the subcutis is visible. Furthermore, there are chronically stationary, long-standing, skin-coloured papules (papillomatosis cutis lymphostatica) aggregated to form bed formations, as well as partially whitish macerated toe spaces.
Neck fistula and cyst, lateral. solitary, chronically in-patient, 2.5 x 1.5 cm in size, clearly increased in consistency, red, rough plaque with an opening for the fistula. occasional slight oozing.
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