Psoriasis palmaris et plantaris (plaquet type): sharply defined, homogeneously red scaly and itchy plaques on the soles of the feet, spreading medially to the edge of the foot and the lower leg.
tinea pedum. dyshidrosiform tinea pedum in a 48-year-old athlete, existing for about 12 months. multiple, itchy, cloudy blisters, healing under scaly crust formation, especially in the arch of the foot. the first interdigital space shows strong macerations, which are only partially visible here.
Acrolentiginous malignant melanoma: A brown, slowly increasing spot that has existed for years. It is said that this broad-based, ulcerated, repeatedly bleeding node has been formed for a few months. Arrows mark the non-node acrolentiginous part of the tumor. A weak pigmentation zone is encircled, which histologically also turned out to be melanoma infiltration.
Psoriasis palmaris et plantaris: dry keratotic plaque type. Pretreated psoriasis plantaris: typical pattern of infection with flat, sharply defined red plaques with and without scaly deposits.
Lichen planus (classic type): extensive infestation of the soles of the feet. At the treads, the (classic) morphological structure of the LP is no longer recognizable due to an even confluence of efflorescences. In the area of the hollow foot, diagnosis per aspect is possible.
psoriasis palmaris et plantaris (pustular type): extensive erythema of the entire palm. sharply limited towards the wrist. mixed type with numerous pustules and dyshidrotic vesicles. coarse lamellar desquamation.
Psoriasis palmaris et plantaris (plaque-type chronic inpatient plaquepsoriasis of the sole of the foot with coarse desquamation and painful hare formation. no topical pre-treatment
Psoriasis palmaris et plantaris: Plaque type with dyshidrotic vesicles. 22-year-old woman shows sharply defined, red, rough plaque with multiple, smaller itchy vesicles (no pustules) and scaling.
Psoriasis palmaris et plantaris. sharply defined plaque with blisters (lower left), rhagades and coarse lamellar scaling on an erythematous ground in the area of the planta. further foci on the lower leg.
Psoriasis plantaris (plaque type): red, massively scaly, markedly indurated plaque on the sole of the foot; yellowish, flat keratoses; there is a marked restriction in walking ability.
psoriasis palmaris et plantaris. sharply defined, clearly infiltrated, rough plaques with coarsening of the skin field. redness accentuated in the marginal area. extensive (parakeratotic) scaling. this finding is typical of non-pretreated psoriasis plantaris.
psoriasis palmaris et plantaris. hyperkeratotic changes in a 50-year-old office worker, existing for 5-6 years. painful rhaghades persisting for weeks at the edge of the heel, especially after jogging. never blisters or pustules. the inflammatory fringe at the edge of the keratosis is typical (but not proving) for psoriasis. clinical diagnosis "psoriasis plantaris" from this (mono)finding difficult. securing the diagnosis by clinical evidence of psoriasis at the contralateral heel, elbows and palms.
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