hematoma, nail hematoma. blue-blackish, sharply defined pigmentation (here of the big toe nail) due to a previous traumatic event. no distal stripy nail discoloration. the absence of distal stripy nail changes excludes the important differential diagnoses "subungual malignant melanoma" and "subungual melanocytic nevus".
pachydermoperiostosis, primary: A 32-year-old man of Han Chinese origin presented with a 15-year history of a peculiar facial appearance (Panel A). after puberty, he had noticed a progressive enlargement of his hands and feet as well as facial furrowing. the patient reported that the progression of disease had stabilized by the time he was 27 years of age. on examination, he had excessive sebaceous secretions and thick, furrowed, and redundant skin on his forehead, cheeks, and chinese. soft-tissue hypertrophy reduced the motion of his hands and feet, with terminal broadening of the fingers (Panel B) and toes and cylindrical enlargement of the limbs. the patient received a clinical diagnosis of pachydermoperiostosis, a rare genetic disease characterized by pachyderma, digital clubbing, and periostosis. his parents and son did not have similar symptoms; no genetic testing was performed. the therapy was performed in two stages. in the first stage, we implanted an expander under the patient's forehead skin to enlarg
Striae cutis distensae. reddish (Striae rubrae), reddish (Striae rubrae), differently long and wide, jagged, parallel running, atrophic stripes with slightly sunken and thinned, transversely folded skin in a young man who showed rapid length growth in the last months.
Bubbles: areal blistering in Cheiropompholyx. 32-year-old female patient complaining of recurrent blistering on the lateral edges of the fingers. In a very warm outside temperature massive, at first itchy, later painful blistering occurred. Smaller blisters appearing only in the area of the palms (groin skin) (left margin of the picture), which first form flat blister aggregates and then merge into large, blurred blisters (middle of the picture).
Usual melanocytic nevus. type Lentigo solaris. Chronic stationary, no longer increasing, sharply limited, symptomless, axisymmetric, 1.0 x 0.6 cm large, brown spot on the auricle of a 36-year-old woman.
Basal cell carcinoma nodular: probably existing for years, slowly growing, skin-coloured, bumpy, completely painless plaque that slides over the base; the destructive growth is recognizable by the undercut of the hairline (hair destroyed).
Please login to access all articles, images, and functions.
Our content is available exclusively to medical professionals. If you have already registered, please login. If you haven't, you can register for free (medical professionals only).
Please complete your registration to access all articles and images.
To gain access, you must complete your registration. You either haven't confirmed your e-mail address or we still need proof that you are a member of the medical profession.