Pityriasis rosea: Collerette scaling: For Pityriasis rosea pathognomonic form of scaling with exactly one ring of fine, slightly raised, whitish scaling about 1-2mm indented from the lateral edge of the reddish plaque.
Note: this form of "keratolytic" desquamation results from the repulsion of superficial, parakeratotic horn lamellae.
Parapsoriasis en plaques,grandes plaquesForm (Parapsoriasisen grandes plaques): completely symptom-free, yellow-brown (purpura pigmentosa-like), sharply defined spots; only when the skin is wrinkled is a cigarette-paper-like pseudoatrophic architecture of the skin surface discernible (important diagnostic sign!).
Granuloma anulare disseminatum. general view: Non-painful, non-itching, disseminated, large plaques on the abdomen of a 43-year-old female patient. no diabetes mellitus.
Lichen sclerosus et atrophicus generalized. large-area infestation with parchment-like skin alteration. red wheals in places, indicating that the process is "still active".
Kaposi's sarcoma:Generalization of angiosarcoma. Disseminated spots and flat plaques. Characteristic is the arrangement in the tension lines of the skin, whereby a striped arrangement is recognizable in places.
Erythrokeratodermia figurata variabilis. very irregularly distributed, bizarrely configured, polycyclic, scaly plaques with alternating clinical expressivity and acuteness as well as very characteristic peripheral scaly ruffs (buttocks) in a 6-year-old boy. few symptomatic skin lesions existing since 2 years.
keratosis seborrhoeic: multiple flat wart-like skin growths that have persisted for years. arrows mark smaller, flat, light brown seborrhoeic keratoses. encircled: verucosal plaques or nodules that have existed for a long time (several years). patient complains of itching at times.
Psoriasis seborrhoeic type: Chronic recurrent, sharply defined red spots and plaques, which are localized in the chest area of a 70-year-old man and run along the anterior sweat channel.
Differential diagnosis "candidiasis intertriginous" : present psoriasis intertriginosa: infection-related acute relapsing activity of a long term known psoriasis vulgaris.
transient acantholytic dermatosis. detail enlargement from previous overview. initial papules, about 1-2 mm in size, deep red with slightly eroded, occasionally scaly surface, characterize the picture. in addition, older plaques (top right) resulting from confluent papules with slight marginal scaling are visible. the nikolski phenomenon is negative.
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