Zoster. 6 days of persistent segmental erosions, partly crusty, on the back of a 66-year-old, very obese female patient. The right axilla showed identical skin lesions.
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.
Pyoderma gangraenosum. chronic progressive, painful, large-area, blue-reddish, slightly raised, approx. 5 x 4 cm large, ulcerated plaque with painful marginal zone and dark red-livid rim on the lower leg of a 36-year-old female patient with ulcerative colitis. on pressure emptying of pus and blood.
erythema induratum. inflammatory, moderately painful, red to brown-red, subcutaneous nodules and plaques. size 2.5 cm, rarely up to 10 cm. often deep-reaching, necrotic melting with subsequent ulceration. chronic course over several years possible. healing with the leaving of brownish scars.
Fistula, odontogenic. permanent, small opening in the lower jaw surrounded by reddish granulation tissue with initial pressure and spontaneous pain and subsequent perforation with diminution or disappearance of the symptoms.
Ulcus cruris arteriosum: very painful ulcer that has existed for about 1 year, is extremely resistant to therapy, sharply defined, as if punched out, and is known to have a history of smoking with PAVK.
Acropathia ulcero-mutilans familiaris. large, completely areactive ulcer (at pressure point) extending to the heel bone. the 40-year-old patient has been suffering from peripheral polyneuropathy for more than 10 years with sensory disturbances for pain, temperature and touch. babinski sign is positive!
Rhagade. 75-year-old patient with a hyperkeratotic ?fingertip eczema? that has been present for years. Deep, extremely painful oblong substance defects that occur repeatedly at the same sites. No clinical signs of a local infection.
Rhagade in chronic actinic cheilitis: A deep, narrow, elongated defect of the lower lip which has existed for several weeks and is covered with crusts.
Leishmaniasis, cutaneous. 12 weeks old, 1.5 x 1.2 cm in size, slowly progressing in size, solitary, slightly pressure dolent, red, rough lump with ulceration in the center. History of previous vacation in Egypt. No systemic complaints.
Porphyria cutana tarda: discrete finding with which the disease initially presents itself. after banal traumas subclinical blisters develop. here residuals with erosions and shallow ulcerations
In the area of the forefoot and the digites I and II, a foul-smelling, yellowish-smeary ulceration extending to the subcutis is visible. Furthermore, there are chronically stationary, long-standing, skin-coloured papules (papillomatosis cutis lymphostatica) aggregated to form bed formations, as well as partially whitish macerated toe spaces.
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