Lichen planus exanthematicus: detailed picture; small papular lichen planus with aggregation of efflorescences to larger plaques; danger of erythroderma.
Melanoma, malignant, acrolentiginous. 2 x 3 cm diameter, red, flat, slightly putrid ulceration on the right big toe of a 73-year-old woman. At the lateral border of the ulcer there are shadowy pigment remains (circled and marked with arrows) in intact skin. In addition, palpation of the peripheral venous leg stations on the right inguinal side shows several enlarged venous leg ulcers (DD: reactive enlargement?).
Toxic epidermal necrolysis. 2 weeks after taking Allopurinol in recurrent attacks of gout, itching and redness on the back for the first time, within a few days dramatic worsening of the general condition with several acute, flat, generalized, randomly distributed, sharply defined, red, weeping and painful erosions. Additional findings were multiple, acute, asymmetrically arranged, disseminated, skin-coloured blisters on a flat erythema on the remaining integument.
Lichen simplex chronicus: 14x7.0 large, itchy, blurred plaque with rough surface on the right forearm of a 32-year-old female patient; the papule structure of the lesion is distinctly skin-coloured and occasionally scratched.
Parapsoriasis en plaques large-heart poikilodermatic: a sympothless, slowly progressive clinical picture that has existed for several years, with poikilodermatic changes consisting of reticular lichenoid, pityriasiform scaling, papules and plaques and central atrophy of the skin.
Candida granuloma. chronic recurrent nodular cutaneous-subcutaneously localized, deep-reaching, livid inflammatory foci on the wrist of an immunocompromised, 28-year-old patient. abundant C. albicans detectable in the smear. development of new nodules despite oral antimycotic medication. partial healing leaving post-inflammatory pigmentation.
Balanitis plasmacellularis: chronic balanitis in a 62 year old patient. no other skin diseases known. no diabetes mellitus. slight urinary incontinence in case of prostate hyperplasia. sharply defined, slightly raised red plaque. no significant symptoms.
Lichen sclerosus extragenitaler: Progressive lichen sclerosus for 2 years with a clearly sunken scarring of the lower lip and chin; surrounding, flat, blurred, clearly consistent plaque with a red-white coloration in the chin area (here the clinical features of the lichen sclerosus are visible).
Amyloidosis cutis nodularis atrophicans: Solitary, soft, brownish-yellowish nodule on the nostril (histologically confirmed as amyloidosis cutis) in a 27-year-old man without clinically detectable systemic amyloidosis.
Psoriasis palmaris et plantaris: dry keratotic plaque type. Pretreated psoriasis plantaris: typical pattern of infection with flat, sharply defined red plaques with and without scaly deposits.
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