Dermatitis, phototoxic. general view (stage of healing): Strip-shaped, dark brown hyperpigmentations, partly with healing blisters and crusts on the left-sided trunk of a 30-year-old female patient. Initially painful, itchy blisters on reddened skin along the contact with the triggering plant parts existed after plant contact and subsequent UV exposure.
Mastocytosis diffuse of the skin: Disseminated large-area mastocytosis of the skin (type Ia). In addition to the conspicuous yellow-brown spots and plaques, the apparently unaffected skin is slushy thickened, in places also with protruding follicular structures. The occurrence of larger blisters after banal trauma has been reported time and again. No systemic involvement detectable.
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. remark: control image 1 year later.
Purpura pigmentosa progressiva. acute episode with dense distribution of punctiform, red, non-push-off spots (bleeding). in addition, extensive brown coloration (hemosiderin deposition) in the area of the lower legs.
Becker-Naevus: Since birth existing, extensive hyperpigmentation in the area of the right hip in a 7-year-old boy; typical for the Becker-Naevus is the bizarre bordering as well as the follicular accentuation in the pigment zones.
Drug reaction, fixed. multilocular FA (1st recurrence in loco) after administration of ibuprofen, 24 h before the first symptoms appear. The present spots are older than 1 week. ring and indicated cocardium structures (see right side of the thigh, initial central bladder).
Notalgia paraesthetica. unspecific picture: Since 15 years persistent, palm-sized, recurrent in irregular intervals (several months), itchy or burning, blurredly limited hyperpigmentation at the right scapula of a 78-year-old female patient; slight scaling and xerosis cutis in the described area.
Naevus spilus resembling a cafe-au-lait spot, sharply defined towards the midline, which identifies this pigment nevus as a cutaneous mosaic. Rather discrete internal pigmentation.
Linea fusca. sharply defined, linear, brown, smooth, non-pruritic hyperpigmentation in a 28-year-old pregnant woman in 24th week of pregnancy. the line runs from the symphysis pubica upwards to the epigastrium. the clinical picture is diagnostically conclusive.
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