Dermatosis, acute febrile neutrophils. following high fever on the back of a 52-year-old man, acutely occurring multiple, reddish-livid, succulent, pressure-dolent, infiltrated papules confluent to nodules and plaques. overall generalized picture with emphasis on extremities and trunk.
café-au-lait stains. reflected light microscopy: detailed view from a lesion on the thigh in a 36-year-old woman. light brown, double contoured reticulation pattern as well as intact skin field lines. no other structural features.
Nipple, accessory: solitary, 0.8 cm high, symptomless, brown plaque with a decentralized pointed conical papule and coarsely felted surface; previously known circumscribed scleroderma.
urticaria, chronic. multiple, chronically recurrent, reddish, partly confluent, volatile wheals, possibly with reflex erythema and central pallor. severe itching or burning. no epidermal involvement.
Eczema atopic: severe, generalized, severely itchy atopic eczema existing since earliest childhood with disseminated, eroded and ulcerated (scratched) reddish papules and plaques; the "dryness of the integument" with keratosis pilaris-like accentuation of the follicles is clearly visible.
Impetigo herpetiformis. 2nd trimester pregnancy. pustular, flexural exanthema with highly red papules, pustules which merge to form large-area anal plaques. Typical are the inwardly directed collerette-like scaling margins.
Netherton syndrome: clinical picture already manifested in childhood with the formation of large, also circulatory, garland-like, brown-red or red surface-rough, scaly plaques; numerous type I sensitizations.
Lichen sclerosus extragenitaler (and genital): generalized, itchy Lichen sclerosus with small and large, partly sharp and partly blurred bordered spots and plaques with parchment-like surface, known for years.
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