Lichen planus erosivus mucosae. painful gingivitis existing for more than one year in cases of currently unsuccessful therapies by the dentist. overall progressive course. chronically stationary, extensive, border-like, painful erythema and erosions as well as extensive whitish plaques are visible.
Fistula, odontogenic. initially diffuse, later described redness as well as swelling, fluctuation, pain under pressure and spontaneous pain. several weeks later persistence of an inflammatory, slightly painful nodule which does not move on the underlying tissue and whose centre is surrounded by reddish granulation tissue. on pressure evacuation of serous fluid.
Squamous cell carcinoma of the skin: painless, flat, ulcerated, weeping, plate-like ulcer of coarse consistency and with a lip-like wall at the edge of the ulcer which has been present for > 1 year. The coarse-callous edge is indicative of malignant neoplasia.
Artifacts: Multiple, deep, punch-like ulcerations in an otherwise healthy 27-year-old female patient. CVI, AVK or immunological underlying diseases were not detectable.
Wegener's granulomatosis: ulcer of about 5.0 x 5.0 cm in size localized at the left inner malleolus and extending into the subcutis in a 23-year-old woman. in the ulcerous surroundings there is an erythematous rim measuring about 2.5 cm. the rim of the ulcer is bizarrely configured. the ulcer is extremely dolent and yellowish fibrinous.
Leishmaniasis, cutaneous: about 8 weeks old, furuncoloid, moderately pressure dolent, red, rough lump with extensive central ulceration; history of previous vacation in Egypt; no systemic complaints.
Erythema induratum. 52-year-old secretary has been suffering for 3 years from this moderately painful lesion running in relapses. Findings: Clinical examination o.B. Local findings: 10 cm in longitudinal diameter large, firm plaque, interspersed with cutaneous and subcutaneous nodules. In the centre scarring, on the edge deep, poorly healing ulcerations (here crusty evidence).
Pityriasis lichenoides et varioliformis acuta: acutely occurring "colorful" exanthema with papules of varying size, measuring 0.2-0.8 cm, erosions, and encrusted ulcers; linear arrangement of the lesions in places
Ulcus cruris mixtum. solitary, chronically dynamic, 2-year-old ulcer, strongly progressive for 6 weeks, 30 x 20 cm in size, sharply defined, yellow-red ulcer reaching down to the muscle fascia, with a smeary coating. strong foetor (gram-negative colonization). evidence of CVI and PAVK (permanent pain, with improvement when the legs are deeply embedded).
Ulcus cruris arteriosum:Painful arterial leg ulcer of the lower leg and the back of the foot that has been present for 1 year and is continuously growing and sharply defined; proven PAVK in smokers' history and type 2 diabetes; destruction of tendons (arrow markings).
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