lupus erythematosus systemic. persistent, sharply defined, symmetrical, non-scaly erythema of the face after exposure to sunlight. known Raynaud's phenomenon. individual enanthema of the oral mucosa (hard palate and cheek mucosa). distinct disturbance of the general condition with arthralgias, fever up to 38° C. typical - butterfly pattern - ("butterfly mask") with free perioral triangle. bridge of nose, upper eyelid and tip of chin are affected.
Psoriasis vulgaris, detail section: Chronic dynamic plaque in the axilla of a 6-year-old girl, occurring in recurrent attacks and existing for 10 days, increasing, solitary, red, rough, covered with cap-like scales.
Lymphangioma cavernosum. suction.hemato-lymphangioma. cutaneous-subcutaneously localized, jagged "always present", completely symptom-free, plaque-like elevation which is compressible. in the anterior part of the lesion also "washer-clear" small blisters (cysts) are recognizable.
Poikilodermatic mycosis fuungoides (plaque-type): conspicuous lesional atrophy, which comes close to the clinical aspect of "granulomatous slack skin".
Chilblain lupus. early stage with livid-red, surface smooth, painful plaques. clinical picture reminiscent of chilblain (frostbite lupus). no other systemic signs of lupus erythematosus. hyperkeratotic nail folds.
Pemphigus vulgaris: multiple, chronic, since 3 years intermittent, symmetric, trunk-accentuated, easily injured, flaccid, 0.2-3.0 cm large, red spots, plaques and pallor, confluent to, weeping and crusty surfaces; extensive infestation of the oral mucosa and capillitium.
Dermatitis solaris: painful erythema and blistering, clearly marked on sunlight-exposed areas. Skin peels off in stripes. This was preceded by several hours of sun exposure.
erythema chronicum migrans. shown here is a finding about 3 months old. approx. 10 days after (rememberable) puncture, a painless, non-itching circular erythema developed, only moderately well distinguishable from normal skin. 3 months later the doctor was consulted.
Cheilitis granulomtosa: Monosymptomatic orofacial granulomatosis. solitary, chronic, recurrent for months, clearly increased consistency, smooth swelling of the upper lip accompanied by a feeling of tension. no lingua plicata. no facial paresis.
Chronically dynamic, in the last 6 months strongly increasing, at the left ear helix localized, plum-sized, coarse, smooth lump with clearly visible vascular drawing; this is a keloid after piercing in a 17-year-old adolescent.
Behçet, M.. Since 14 days persistent, approx. 1.8 x 0.8 cm large, aphthous, whitish, smearily covered, strongly painful ulcer on the right labia of a 42-year-old woman.
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