Basal cell carcinoma, superficial, atrophic, orthokeratotic epidermis; in the center bud-like tumor bundle of dense basaloid epithelial cells protruding into the papillary body; palisade position and distinct cleavage are recognizable; dense diffuse lymphocytic infiltrate; on the right side an incised hair follicle.
atopic dermatitis: eminently chronic dermatitis, with blurred, itchy, red, rough, flat plaques. known (only slightly pronounced) rhinoconjunctivitis allergica. IgE normal. no atopic FA. DD: a seborrhoid form of psoriasis can be excluded . R morphologically, a tinea corporis should be considered.
drug exanthema, maculo-papular. multiple, acute, since 4 days existing, generalized, symmetrical, initially isolated, 0.1-0.2 cm large, later on large, about 30 cm large, homogeneous, marginally bizarrely dissected, smooth, red spots. no fever, no lymphadenopathy. occurs 6 days after taking non-steroidal anti-inflammatory drugs due to a sports injury.
scabies. vein-shaped, rough papules with massive, especially nocturnal itching. larger plaques only in case of eczematization. predilection sites: interdigital folds of hands and feet, areolas. head and neck are free.
Urticaria pigmentosa: general view: about 0.5-1.0cm large, disseminated, oval or round, brownish-red spots. only when rubbed, increased redness of the spots with accompanying itching. also in warm showers or baths increased redness and clearly palpable elevation of the lesions.
Dermatitis solaris: extensive, succulent, painful erythema in a 25-year-old man with skin type II, clearly marked on sunlight-exposed areas, preceded by several hours of sun exposure.
Cellulitis eosinophile: unusually extensive skin findings, with a clinical picture that has existed for several weeks, with fatigue and tiredness as well as erysipelas-like erythema that gradually conflates into larger areas.
urticaria chronic spontaneous: multiple, chronically recurrent, reddish, confluent wheals. severe itching. no scaling. note: the single episode lasts a maximum of 8-12 hours (detectable by marking test).
Pustulosis, sterile eosinophilous. multiple, chronic, recurrent for 6 months, disseminated, 0.1-0.2 cm large, highly itchy pustules that appear on flat plaques. blood eosinophilia and histoeosinophilia are detectable.
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