Lupus erythematodes tumidus: Plaques existing for 3 months, localized on the back and face, irregularly distributed, sharply defined, 0.2-3.0 cm in size, flatly raised, clearly increased in consistency, slightly sensitive, red, smooth plaques; no significant scaling.
Amyloidosis systemic of the Al type. after banal efforts or local trauma completely symptomless, permanently persistent purpura. on intensive examination a flat, symptomless discoloration (amyloid deposits) of the anterior neck area is noticeable. known plasmocytoma.
Mycosis fungoides follikulotrope: 10-year-old girl with generalized folliculotropic Mycosis fungoides. foudroyant course of the disease which made a stem cell transplantation necessary
Dermatomyositis, juvenile: Symmetrical "lilac-coloured eythema". feeling of illness with fatigue, inability to perform, muscle weakness. pronounced hypertrichosis due to therapy with Ciclosporin.
Dermatitis chronic actinic (type light-provoked atopic eczema). general view: Disseminated, scratched papules and plaques, nodular in places, as well as blurred, large-area, reddened, severely itching erythema on the face of a 51-year-old female patient with atopic eczema existing since birth. the skin changes can be provoked by sunlight and photopatch testing.
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.
Cutis marmorata teleangiectatica congenita (localisata), symptomless vascular malformation with reticular and extensive redness and vascular veins sharply limited to hands and the distal forearm.
Dermatitis, chronic actinic (type actinic reticuloid). large-area, chronically dynamic, severe eczema reaction limited to UV-exposed skin areas with rough, extensive eminently itchy plaques with fine dense scaling. massive actinic elastosis (see deep rhomboidal skin field of the entire face). already after brief exposure to the sun, increase in burning itching. no history of atopy. probably caused by the intake of thiazide-containing diuretics.
Systemic lupus erythematosus: acute maculopapular exanthema, accompanied by recurrent fever attacks, fatigue and exhaustion, arthralgia, inflammation parameters +, ANA high titer positive, rheumatoid factor +, DNA-AK+. UV-relatedness of the exanthema is not detectable.
Drug exanthema after ingestion of a cephalosporin. 4 days after continuous intake of the antibiotic, sudden (overnight) development of this moderately itchy, maculo-papular exanthema. Noticeable is the emphasis on UV-exposed areas. However, UV exposure of these skin areas was (demonstrably) months ago.
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.
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