Lymphoma, cutaneous T-cell lymphoma, large-cell, CD30-positive. general view: Multiple, chronically dynamic, increasing, non-displacing, confluent, covering a total area of 6 x 6 cm, hemispherical nodules with hard, central, red part and deep, crater-shaped ulceration in a 64-year-old patient.
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.
Basal cell carcinoma, destructive: ulcer measuring approx. 3 x 4 cm with glassy papules strung together like a string of pearls. 64-year-old female patient.
Fasciitis, necrotizing. foot of a 53-year-old patient. after a banal traumatic injury to the inner ankle, a fulminant, highly painful, doughy swelling developed within 3 days with diffuse redness of the entire lower leg. extensive necrosis of the skin of the inner ankle and over the edge of the tibia. fluctuating swelling in the middle of the lower leg. here incision with evacuation of about 50 ml of purulent secretion.
Erythema exsudativum multiforme. chronic dynamic erosive gingivitis with reactive squamous epithelial hyperplasia and partially superficial mucous membrane erosions in a 66-year-old female patient with histologically confirmed lichen planus mucosae. severe pain during oral hygiene and close-up. all regions of the oral cavity are affected.
Porphyria cutanea tarda: back of the hand and dorsal forearms with small papules, excoriations and older scars and hyperpigmentation. no fresh blisters. palms free of irritation.
Toxic epidermal necrolysis. detailed picture: The 67-year-old female patient developed multiple, acute, disseminated, sharply demarcated, partly confluent, soft, skin-coloured blisters on a flat erythema on the entire integument within a few days. In case of persistent fever, antibiotic therapy was initiated.
Zoster in the trigeminal region. 80-year-old female patient developed vesicles after initial unilateral cephalgias and dysesthesias, followed by hemorrhagic crusts and necroses in the region of the trigeminal I.
For 21 days persistent, 2 ca. 0.5 cm large, aphthous, whitish, smearily covered, strongly painful ulcers on the right large labia in a 42-year-old Ethiopian woman.
erythema induratum. solitary, chronically stationary, 4.0 x 3.0 cm in size, only imperceptibly growing, firm, moderately painful, reddish-brown, flatly raised, rough, scaly nodules with a deep-seated part (iceberg phenomenon). intermediate painful ulcer formation (Fig). no evidence of mycobacteriosis.
Basal cell carcinoma, nodular. solitary, 1.0 x 1.2 cm large, broad-based, firm, painless nodule, with a shiny, smooth parchment-like surface covered by ectatic, bizarre vessels. Note: There is no follicular structure on the surface of the nodule (compare surrounding skin of the bridge of the nose with the protruding follicles).
Erythema exsudativum multiforme; acutely opened, extensive, painful erosions of the oral mucosa; infestation of the red of the lips with fine rhagades.
Thrombangiitis obliterans (endangiitis obliterans): peripheral circulatory disorder with acutely occurring ulcers, which are now already older and covered with crusts.
Ulcus cruris arteriosum: arterial leg ulcer that has been present for about 1 year, continuously expanding, sharply defined, extremely painful, known history of smoking with PAVK.
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