ecchymosis syndrome, painful, intermittent manifestation of painful skin bleeding in a 48-year-old man. initial development of oedematous, overheated, pressure-sensitive erythema. subsequent development of skin bleeding and slow expansion of the skin changes. scarless healing after 1-2 weeks. in the present case, there was a severely pronounced clinical picture with multiple accompanying symptoms, especially fever, weight loss, fatigue, muscle and headaches, arthralgia, epistaxis, haemoptysis and haematuria.
Livedo reticularis: right shoulder of a 24-year-old woman after sauna visit with cold shower. The completely symptom-free anular erythema disappears completely after 10-20 minutes.
Acrocyanosis; diffuse reddish-livid skin discoloration of both mammae only occurring in cold weather with large-meshed marbling; reduced skin temperature; possible doughy, cushion-like swellings, symmetrical infestation, numbness and iris diaphragm phenomenon.
Vitiligo: Multiple predominantly roundish vitiligo foci. A foci with a central residue of a melanocytic nevus (halo or sutton nevus) is encircled. Note: In the 14-year-old boy it is conspicuous that not a single melanocytic nevus is detectable.
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