scleroderma circumscripts (plaque-type). large,circumcircumscribed, red-violet, smooth plaque with centrally embedded yellow-white indurations. the surface here is shiny like parchment. there is a feeling of tension. no pain. DD: scleroderma-like borreliosis!
Tungiasis: Unusual extensive skin finding 4 weeks after bathing holiday in south-east asia in a 34-year-old woman. first itchy nodules 2-3 days after visiting the beach. continuous increase of clinical symptoms accompanied by severe itching. extensive finding of severely itching, disseminated, streaked papules on the back, both shoulders and the extensor sides of the arms (accidental contact with the surface of the ground).
Mastocytosis of the urticaria pigmentosa type: generalised infestation of the integument with disseminated brown spots, patches, papules and plaques, which in some places congregate to form larger areas
Pemphigus erythematosus: since about 1 year recurrent, symmetrical, red, rough plaques with coarse lamellar scales and crusts, localized in the seborrheic areas; little itching.
common melanocytic nevus. type: nonfamilial syndrome of (acquired) dysplastic melanocytic nevi. up to 0.5 cm in size, brown, soft papules with smooth surface in disseminated distribution on the entire trunk in a 29-year-old patient. since earliest childhood strong sun exposure during regular bathing holidays at the north sea. the moles "have always been".
Pemphigoid, bullous. general view: maximum exacerbated clinical picture on trunk and extremities of a 66-year-old female patient. Multiple, acute, generalized, symmetrical, flexurally accentuated, 0.3-1.0 cm large, isolated and grouped, partly hemorrhagic, bulging blisters on flat erythema and plaques. Older, healing blisters are partly burst open, eroded or encrusted.
Dermatitis solaris. almost universal, succulent erythema in a 30-year-old patient (skin type II) after intensive, several hours of sunbathing in the midday sun. accompanying strong sensation of heat, chills and circulatory weakness about 7 hours after exposure to the sun.
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