Addison's disease: homogeneous hyperpigmentation of the back in a 35-year-old man; especially accentuated on the lateral parts of the back and in the lumbar region. The patient made a statement typical for Addison's disease: "Last summer's suntan did not recede as usual" The transverse light stripes of the lumbar region correspond in appearance to striae cutis distensae.
Urticaria pigmentosa (overview): Adult form of Urticaria pigmentosa (erythroderma). With a history of many years, continuous increase in spot density. The inlet shows the confluence of numerous red spots.
Type I Neurofibromatosis, peripheral type or classic cutaneous form. Since puberty slowly increasing formation of these soft, skin-coloured or slightly brownish, painless papules and nodules. Several café-au-lait spots.
Chronic photo-ageing of the skin: moderately pronounced photo-ageing of the skin; in addition to an extensive base tan, irregularly configured pigment spots; further splashes of depigmentation.
Circumscribed scleroderma (type Atrophodermia idiopathica et progressiva ): since about 2-3 years first appearing, since then size progressive, large brown, little indurated, non-symptomatic spots in the area of the trunk in a 23-year-old female patient.
Erythema dyschromicum perstans. clinical picture existing for months. initially small spots of brown-red with little increase in consistency, later large, steel to slate grey, smooth spots and plaques of the skin. no medication history.
Notalgia paraesthetica:interval-like itching, also burning, blurredly limited hyperpigmentation, known for several months; the itching is answered by prolonged (lustful) rubbing on the edge of the door.
Urticaria pigmentosa: Close-up: about 0.5-1.0 cm in size, disseminated, oval or round, brownish-red spots; "Darier phenomenon" can be triggered; here visible by the red colour in places of slight mechanical irritation.
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