Candidosis, chronic mucocutaneous (CMC): Inflammatory redness and yellowish keratotic plaques of the interdigital spaces in a 3-year-old boy with simultaneous, therapy-resistant candidosis of the oral mucosa.
Angiosarcoma, epitheloid. condition after surgical removal of the nail for tissue sampling. bleeding tumour grown under the big toe nail, livid to brownish-red. rapid organ metastasis with lethal outcome within 6 months.
Melanoma malignes acrolentiginous: Irregularly bordered and stained completely symptom-free plaque, existing for years. I increased surface growth and development of an "unpleasant feeling" in this 42-year-old patient during the last months.
Fibrokeratome, acquired, digital. 7 years old, slightly size progressive, pressure dolent, growing out from under the nail, approx. 0.5 cm diameter, red nodule with horny surface in a 62 year old female patient, which led to a steep lifting of the nail plate. The nail organ is painful with localized pressure.
Amelanotic acrolentiginous malignant melanoma: A "reddish spot" that has existed for years. It is said that this broad-based red node has been formed for a few months and has bled several times.
Melanoma malignes acrolentiginous: Brown "spot" on the left small toe that has existed for many years; for several months now it has been growing in thickness, weeping and bleeding.
Infection of the foot, gram-negative, painful macerations on toes and ball of the foot, sharply defined, whitish maceration on the edge, spotted fibrinous and purulent towards the depth, foul-smelling, evidence of Pseudomonas aeruginosa.
Amelanotic acrolentiginous malignant melanoma: slowly growing nodule known for several years; increasing nail destruction in the last six months, also weeping and bleeding, sometimes slight pain; encircled and marked with an arrow, deep-seated pigment remains, which suggest the diagnosis "malignant melanoma".
Melanoma, malignant, acrolentiginous. solitary, chronically stationary, slowly increasing, localized at the right big toe, measuring about 0.5 cm, touch-sensitive, red node ulcerated with a dark pigmented part (see circle and arrow marking) Histology: tumor thickness 2.7 mm, Clark level IV, pT3b N0 M0, stage IIB.
Melanoma, malignant, acrolentiginous. solitary, chronically stationary, slowly increasing, localized at the right big toe, measuring approx. 0.5 cm, touch-sensitive, red node ulcerated with a dark pigmented part (see circle and arrow marking) Histology: tumor thickness 2.7 mm, Clark level IV, pT3b N0 M0, stage IIB.
melanoma, malignant, acrolentiginous. reddish, partly skin-coloured, slowly growing, coarse plaque, which has predominantly displaced the nail bed. there are also bizarre, black-brown hyperpigmentations. the nail plate is no longer existent except for a rest.
Melanoma, malignant, acrolentiginous. 2 x 3 cm diameter, red, flat, slightly putrid ulceration on the right big toe of a 73-year-old woman. At the lateral border of the ulcer there are shadowy pigment remains (circled and marked with arrows) in intact skin. In addition, palpation of the peripheral venous leg stations on the right inguinal side shows several enlarged venous leg ulcers (DD: reactive enlargement?).
Thrombangiitis obliterans. 52-year-old patient with decades of nicotine abuse. 6 months of acrozynosis (even more severe in cool surroundings) and mummified toe cap necrosis with osteolysis.
Thrombangiitis obliterans. 32-year-old patient with a nicotine abuse lasting for years and spotted plantar rythema existing since 6 months as well as mummified toe cap necroses (detailed picture).
Melanoma malignes amelanotic: since early childhood a pigment mark is known at this site. Only in the last months this site has bled with slight traumas. There are no other complaints.
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