Pemphigoid, bullous. general view: maximum exacerbated clinical picture on trunk and extremities of a 66-year-old female patient. Multiple, acute, generalized, symmetrical, flexurally accentuated, 0.3-1.0 cm large, isolated and grouped, partly hemorrhagic, bulging blisters on flat erythema and plaques. Older, healing blisters are partly burst open, eroded or encrusted.
Dermatitis solaris. almost universal, succulent erythema in a 30-year-old patient (skin type II) after intensive, several hours of sunbathing in the midday sun. accompanying strong sensation of heat, chills and circulatory weakness about 7 hours after exposure to the sun.
Zoster: in segmental distribution (Th4), grouped vesicles on reddened skin in a 38-year-old man. Moderate pain. Healing without complications. No postzosteric neuralgia. Here is a detailed picture with fresh grouped vesicles.
Stevens-Johnson syndrome: acutely occurring vesicular exanthema with characteristic bull's-eye erythema, plaques and blisters as well as extensive, painful erosions of red lips, lip mucosa, tongue and gingiva in an 18-year-old woman. Clear general feeling of illness.
Zoster generalisatus (with drug-induced immunosuppression): For 5 days increasing redness and swelling of the skin with stabbing, shooting pain. extensive erythema, blisters, scaly crusts and swelling. > 25 blisters beyond the segmental infestation.
Pemphigus vulgaris: multiple, chronic, since 3 years intermittent formation of large, easily injured, flaccid, 0.2-3.0 cm large, red blisters, which have united here to form larger, blister lakes.
Dermatitis medusica: Acute, linear, itchy and burning (also painful) plaque, as well as disseminated, papules and vesicles, appearing on the thigh of a 32-year-old woman about 6 hours after contact with a fire jellyfish (Baltic Sea); the stripe pattern is evidence of exogenous triggering.
Toxic epidermal necrolysis. detailed picture: The 67-year-old female patient developed multiple, acute, disseminated, sharply demarcated, partly confluent, soft, skin-coloured blisters on a flat erythema on the entire integument within a few days. In case of persistent fever, antibiotic therapy was initiated.
Pemphigoid, bullous. not quite fresh episode in a 65-year-old patient with known bullous pemphigoid. reasons for the episode activity unclear (therapy errors?). maximum exacerbated clinical picture with multiple, 0.5-10 cm large, red itchy plaques and different sized marginal blisters.
PEP. massive itching, disseminated urticarial papules and plaques. the "red" tone of the efflorescences, so distinct in white skin, is hardly visible in dark skin.
Dermatitis herpetiformis. detailed view of several, chronically active, disseminated papules, red spots and vesicles localized at the integument and accompanied by severe pruritus. characteristic is the occurrence of different types of efflorescence. similar skin lesions are also found gluteal and on both thighs.
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