rosacea papulopustulosa: centrofacially localized redness, inflammatory papules and pustules. infestation of the eyelids. recurrent keratoconjunctivitis.
lupus erythematodes tumidus: for 4 weeks existing, little symptomatic, succulent, bright red, surface smooth papules and plaques. probably occurred after UV exposure (correlation could not be clearly clarified). no hyperesthesia. ANA: 1:160; DNA-Ak negative; DIF: uncharacteristic. initiation of therapy with Resochin.
Granuloma anulare disseminatum. 0.2-1.0 cm in size, distributed over the décolleté and arms, standing alone or confluent, bluish to brownish, often anular but also homogeneously filled, non-scaling or only slightly scaling, asymptomatic spots or flat papules and plaques with lupoid infiltrate.
Pityriasis rubra pilaris (adult type) Detail: chronic recurrent course for years with phases of marked improvement and extensive recurrence (fig. in a relapse period). Characteristic for the disease are the boundaries of the plaques drawn with a sharp pencil, resulting in the so-called "nappes claires", sharply recessed zones of unaffected skin in the case of extensive infestation.
Chondrodermatitis nodularis chronica helicis. solitary, 0.4 cm large, sharply defined, rough, strongly pressure-dolent papules, existing for several months. due to pain the patient is not able to sleep on the left side.
scabies. severely itching, disseminated, pinhead to lentil-sized, centrally eroded papules on the trunk and extremities. granulomas appear periumbilical and inguinal.
Skin metastases: multiple, sometimes ulcerated, coarse, skin-coloured and red papules and nodules in the groin and scrotum in metastatic anal carcinoma.
Acne conglobata:symmetrically distributed, inflammatory papules and pustules with cystic transformation with a tendency to melt down, severe scarring and comedones. Mostly occurring in young people in the facial and upper body region. Chronic, often pressure-painful course.
Acne inversa. pronounced findings in an obese 47-year-old patient. the multiple, chronically stationary, intertriginously localized nodules and scars have existed since early adolescence. previous therapies with isotretinoin were discontinued due to elevated liver values with simultaneous C2-abusus.
Infantile acrolocalized papulo-vesicular syndrome: Multiple, partially confluent papules and papulovesicles on the back of the foot of an 8-month-old boy.
Granuloma pyogenicum (pyogenic granuloma) Acute, dynamically growing for 4 weeks, 0.6 x 0.5 cm in size, touch-sensitive or painful, bluish-livid, shiny, smooth nodule, partly covered with haemorrhagic crusts; a previous trauma is recalled.
Glossitis rhombica mediana: Chronic inpatient, painless, slightly raised, sharply defined, red lump in the middle of the back of the tongue in a 50-year-old patient, existing since birth.
Pityriasis lichenoides chronica: 19-year-old, otherwise healthy patient with a papular exanthema which has been present for 1 year and runs intermittently.
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