Lupus erythematosus: cutaneous chronic (scarring) lupus erythematosus (chronic discoid lupus erythematosus). years of progression with circumscribed red scarring plaques (circle - with whitish scarring - atrophic area without follicular structure): arrow: dermal melanocytic nevus.
Acrodermatitis continua suppurativa: for years a chronic recurrent clinical picture with painful pustules, nail destruction with formation of erosive areas
Erythema anulare centrifugum: characteristic (fresh) lesions with peripherally progressive plaques, which are peripherally palpable as well limited (like a wet wolfaden) Histological clarification necessary.
Infant hemangioma. scrotal and perineal hemangioma and aggregated papules in a 2-month-old boy. From day 6-7 after birth red spots appeared at first on the scrotum, which then increased in size and spread to the anus.
lupus erythematosus acute-cutaneous: clinical picture known for several years, occurring within 14 days, at the time of admission still with intermittent course. anular pattern. in the current intermittent phase fatigue and exhaustion. ANA 1:160; anti-Ro/SSA antibodies positive. DIF: LE - typical.
Mixed connective tissue disease. hyperkeratoticnail folds with elongated capillaries and focal haemorrhages. Note the splatter-like scars on the back of the fingers as well as the expression of focal, now healed scarred, cutaneous vascular occlusions.
Psoriasis intertriginosa: extensive psoriatic affection of the scrotum combined with distinct itching, especially when sweating (DD: atopic scrotal eczema)
Psoriasis palmaris et plantaris (plaquet type): chronic stationary keratotic plaques on the soles of the feet and toes, in this case spreading to the backs of toes and feet.
Exfoliatio areata linguae. 2 anular, "plaque free" areas. low burning sensation with spicy food or fruity drinks. characteristic for the clinical picture are the whitish swollen border areas. otherwise normal coating of the tongue
Chronic contact allergic dermatitis: therapy-resistant, chronic dermatitis caused by beta-blocker-containing eye drops (in case of glaucoma). Only by changing the therapeutic agent a complete healing of the chronic dermatitis could be achieved. In the meantime a 1% hydrocortisone vaseline was applied twice a day.
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