Mycosis fungoides follikulotrope: 10-year-old girl with generalized folliculotropic Mycosis fungoides. foudroyant course of the disease which made a stem cell transplantation necessary
Basal cell carcinoma, nodular: Development of a basal cell carcinoma on a (congenital) sebaceous nevus. The carcinomatous transformation took place chronically insidiously without any symptoms. Only a recurring crust formation with intermediate weeping led to the pioneering biopsy.
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.
Parapsoriasis en plaques, grandiose: completely symptomless, sharply defined, disseminated spots and plaques; only when the skin is folded does a cigarette-paper-like pseudoatrophic architecture of the skin surface become visible (important diagnostic sign!).
Necrobiosis lipoidica. necrobiosis lipoidica slowly "growing" for several years. large, rather discrete scarring in the centre. yellow-brownish plaque at the edges.
Dermatitis contact allergic: 53 years old, still working bricklayer. chronic eczema with disseminated red, partly skin-coloured papules, which in places have conflated to blurred, lichenified plaques. furthermore discrete, laminar, fine-lamellar scaling as well as multiple partly encrusted erosions. distinct itching. proven chromate sensitisation.
Acute contact allergic eczema with scattering reaction after application of a gel containing diclofenac; linear patterns (Koebner phenomenon) in the upper third of the dermatitis.
Reticulosis, pagetoid (disseminated type Ketron and Goodman): For several years slowly migrating, partly anular, partly garland-shaped, little itchy, brown-red, only minimally elevated, broadly margined plaques with parchment-like surface.
Tinea corporis in immunodeficiency. 24 x 18 cm large, chronic (>12 months), anular, not pre-treated, itchy plaque (inlet: marginal zone enlarged) with delicate Collerette-like marginal scaling.
Basal cell carcinoma, superficial, supposedly only existing for 1/2 year, which was treated as mycosis. Sharply demarcated to the surrounding skin, not itchy (!), reddish-brown, only moderately indurated plaque, with interspersed erosions and crustal deposits. On the left and at the bottom a slight walllike border is detectable; clinical indication of a basal cell carcinoma. Finally the classification is only possible by histological examination (3 mm punch biopsy is sufficient).
Dermatitis, seborrheic: Chronic, therapy-resistant, psoriasiform seborrheic eczema in a 63-year-old patient; no other clinical evidence of psoriasis vulgaris.
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.
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