Prurigo simplex subacuta: unusually extensive clinical picture with papules of different sizes, always centrally excoriated in a 51-year-old type I diabetic. severe, always punctual, prickly itching. ?spooning? of the lesion with the fingernail and then sudden cessation of the itching. involvement of the upper arm extensor sides, upper back, thigh extensor sides, chest region and face.
Pyoderma gangraenosum. chronic dynamic, laminar, marginally progressive, flat ulceration with highly painful marginal zone and livid rim in a 71-year-old patient with plasmocytoma. extension to the depth beyond the fascia. postinflammatory hyper- and hypopigmentation, scarred healings and erythema are also present.
Largeulcer of the left lower leg and back of the foot in a 63-year-old female patient with CVI known for 20 years after several split skin transplants.
Erythema induratum (Nodular vasculitis): The 48-year-old patient has been suffering for 2 years from these intermittent, moderately painful, therapy-resistant plaques which tend to ulceration.
Angiosarcoma, epitheloid. condition after surgical removal of the nail for tissue sampling. bleeding tumour grown under the big toe nail, livid to brownish-red. rapid organ metastasis with lethal outcome within 6 months.
Drug reaction, fixed: multilocular fixed drug reaction with extensive epidermolysis on sharply defined erosions in the area of the back of the hand and thumb.
Infection of the foot, gram-negative, painful macerations on toes and ball of the foot, sharply defined, whitish maceration on the edge, spotted fibrinous and purulent towards the depth, foul-smelling, evidence of Pseudomonas aeruginosa.
Healed fingertip necroses in chronic " Graft-versus-Host-Disease": 2 years afterstem cell transplantation, large-area scleroderma and poikiloderma skin changes. Massive acrosclerosis. Scarring on the fingertips after healed fingertip necroses.
Behçet, M.. Very painful, recurrent aphthous lesion in the region of the large labia, in the present case associated with oral aphthae, arthritides and other general findings.
Zoster: since 6 days increasing, left-sided headache with accompanying feeling of illness. since 3 days redness and swelling of the skin with stabbing, shooting pain. extensive erythema, blisters, scaly crusts and swelling.
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