lupus erythematodes chronicus discoides: 25-year-old otherwise healthy patient. variable now discrete skin lesions; for 12 months. only low photosensitivity. multiple, touch-sensitive, red, plaques. histology and DIF are typical for erythematodes, ANA and ENA negative.
Granuloma anulare subcutaneum. several, moderately pressure-dolent, skin-coloured to brown-red, deeply dermal or subcutaneously situated, moderately coarse, shifting, 0.4-1.5 cm large nodules and nodes. existence for years (5-15 years).
Scleromyxedema. 52-year-old patient shows a diffuse thickening and discreet reddening of the facial skin. Especially in the area of the glabella there is a bulging overlapping thickening of the skin folds.
Acne, steroid acne. general view: For 4 months persistent, disseminated, 1-4 mm large, reddish papules in a 20-year-old patient who has been systemically treated with glucocorticoids for years because of an underlying vasculitic disease. dose at first manifestation of the skin changes: 40 mg prednisolone p.o.
Granuloma pyogenicum (pyogenic granuloma): rapidly growing, shiny, erosive lump on the lower lip. The sudden appearance was preceded by a bite on the lower lip. At the base, increasing constriction with collar-like epidermis.
Juvenile xanthogranuloma: with fresh consent from: Pajaziti L et al (2014) Juvenile xanthogranuloma a case report and review of the literature BMC Res Notes 7: 174
Dermatosis, acute febrile neutrophils (Sweet syndrome): acutely occurring (existing since 1 week) highfebrile exanthema with involvement of the trunk, face and capillitium as well as the upper extremities. feeling of illness, myalgia, arthritis. high inflammation parameters. cause unknown (viral infection in combination with the intake of anti-inflammatory drugs?).
Granuloma pyogenicum (pyogenic granuloma) Rapidly growing, bluish-black, soft, slightly bleeding tumour. Remark: the black colour was caused by thrombosis in the tumour parenchyma.
Tufted hairs:Folliculitis decalvans: Scar plate with wicklike tufts of hair in the centre, also in the marginal area of the scarring (see also under Folliculitis decalvans).
Lupus erythematosus, subacute-cutaneous, multiple, chronically dynamic, increasing, small or extensive red spots as well as red, small, sometimes rough, scaly papules and pustules on the face of a 66-year-old man. Furthermore, extensive, net-like branched telangiectasia can be found. DIF from lesional skin (see inlet; arrows indicate IgG deposits on the dermo-epidermal basement membrane zone and the follicular epithelium)
Syphilide, papular. multiple, acute, still increasing, generalized (trunk, extremities, palms, soles of feet affected), predominantly isolated, 0.1-0.3 cm in size, confluent in places (chest region), red or reddish-brownish, rough, slightly scaly papules or plaques. There is also fatigue, generalized, non-painful lymphadenopathy and positive syphilis serology. Typically, infestation of palms and soles of feet occurs.
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