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?).
Psoriasis capitis: diffuse reddening of the entire capillitium with coarse lamellar scaling. Here in a 42-year-old patient with extensive psoriasis of the entire integument. Typically, the changes exceed the forehead-hairline.
stasis dermatitis: flat, sharply limited plaque of the entire right lower leg. lipofasciosclerosis in case of a previously known CVI with beginning papillomatosis cutis lymphostatica. condition after leg ulcer. currently distinct exudation, lymphorrhoea as well as secondary bacterial colonization.
Sarcoidosis: anular or circulatory chronic sarcoidosis of the skin. persisting for several years. onset with small symptomless papules with continuous appositional growth and central healing. no detectable systemic involvement.
Stevens-Johnson syndrome: acute, extensive, painful erosions of the red of the lips, the lip mucosa, the tongue and the gingiva in an 18-year-old woman.
Erythema anulare centrifugum: Characteristic single cell lesion with peripherally progressive plaque, which flattens centrally and is only recognizable here as a non raised red spot.
Lupus erythematodes chronicus discoides : Solitary blurred plaque with atropical surface, adherent scaling, bizarrely configured scarring (bright areas); distinct painfulness in case of punctiform exposure (e.g. brushing over with fingernail); unpleasant burning sensation when exposed to UV light.
lupus erythematodes tumidus: chronic, relapsing disease pattern that has been active for months, completely without symptoms; succulent, surface-smooth, red plaques. high sensitivity to light. no hyperesthesia. ANA: negative; DIF: uncharacteristic. good response to antimalarial therapy.
Psoriasis inversa: 69-year-old woman. 6 months at presentation. no manifestations of psoriasis present on the remaining integument. family history but positive: son with known psoriasis vulgaris.
Mastocytomas, cutaneous: moderately consistency-propagated, brownish-reddish, blurred, maculopapular plaques; the Darian sign is positive (development of a wheal after rubbing the efflorescence).
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)
mucinosis(s). plaque-shaped, idiopathic, cutaneous mucinosis. red, rather sharply defined, cushion-like, smooth plaques in the face of a 42-year-old woman. similar efflorescences were observed in the breast area and on the back.
Acrodermatitis continua suppurativa: chronic, recurrent, sterile pustular disease of the acromion, which leads to atrophy and loss of nails if it occurs repeatedly and persists for a long time (see figure).
Bilateral naevus verrucosus in an infant. No symptoms. Psoriasiform aspect of the plaques running in the Blaschko lines, scattered, reddish, slightly infiltrated, scaly.
DD Erythroplasia: Balanitis plasmacellularis: For 1.5 years recurrent, in the meantime also healing, multiple, temporarily burning, red, rough, sharply defined, velvety granulated plaques on the glans penis in a 53-year-old patient. slight urinary incontinence.
Acrodermatitis chronica atrophicans: extensive, oedematous, tender red erythema as well as flaccid atrophy with cigarette-paper-like folding of the skin on the right hand of a 77-year-old woman. For 2 years there has also been joint pain in both hands and both shoulder joints as well as gait insecurity with proven neuroborreliosis. The fingernails are partly dystrophic (see stripy leukonychia) and partly no longer firmly connected to the nail bed.
Squamous cell carcinoma of the skin: ulcerated, temporarily painful and burning, erosive plaque on lichen sclerosus et atrophicus, which has been present for years (still clinically detectable).
Squamous cell carcinoma of the skin: carcinoma of the nail bed, which was misjudged as a fungal disease of the toenail and whose infiltrating growth had led to an almost complete onychodystrophy.
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