REM-syndrome. 1.5-year-old female patient with a reticular to planar, frayed, light red, temporarily itchy, urticarial erythema, papules and plaques in the décolleté area. The red colouring of the lesion is alternately strong and shows a clear deterioration after sun exposure.
Contact dermatitis allergic: Acutely appeared, large red spots and plaques with rough, partly scaly surface as well as haemorrhagic vesicles in an 18-month-old boy. The skin changes occurred a few hours after extensive application of a cream containing lidocaine.
Pseudolymphoma of the skin: non-itchy, surface-smooth, reddish-brown papules and plaques on the left shoulder blade region; histological: non-clonal lympho-reticular proliferation, without epidermotropy.
Nummular dermatitis: Detail enlargement : Massive itching, solitary or confluent, scratched, red lumps and plaques on the buttocks of a 77-year-old woman.
Hidradenitis suppurativa, a progressive and extensive finding with papules, pustules, nodules and indurated ductal fistulae that has been present for many years.
Transitory acantholytic dermatosis (M.Grover): a few weeks old, only moderately pruritic clinical picture with disseminated papules and also papulo vesicles; Nikolski phenomenon negative.
Poikilodermia vascularis atrophicans: 72-year-old patient with a slowly progressive, varicolored-checked clinical picture of the skin, which has been present for > 15 years. the varicolored-checked skin is caused by reticular or stripe-shaped erythema and plaques. reticular or flat brown discoloration (hyperpigmentation) is also found. present is a "poikilodermatic mycosis fungoides".
Psoriasis vulgaris. psoriatic erythroderma. spread of psoriasis vulgaris as a maximum variant over the entire integument in the form of a generalised redness with scaling. rapidly spreading clinical picture; strong feeling of illness; high loss of fluid and temperature.
Pemphigus chronicus benignus familiaris: variable clinical picture with multiple, chronic, symptomless, scaly and crusty papules and plaques; section of a generalized clinical picture with typical infestation pattern.
Pemphigus erythematosus (state after UV-provocation): since about 2 years recurrent, symmetrical skin changes localized in the seborrheic areas. After pretreatment flat depigmentations so oral, scaly palques. On the lower left side the UV-provoked square area (isomorphic irritant effect).
Psoriasis guttata: acutely and de novo appeared, 0.1-2.0 cm large, reddish, rough papules and plaques with fine-lamellar scaling on the trunk and extremities in a 24-year-old woman. A feverish streptococcal angina preceded this. After healing of the initially manifested symptoms, a longstanding chronic, intermittent course of psoriasis followed.
Pemphigoid gestationis. itchy, since 4 weeks existing exanthema with multiple, generalized, symmetric, truncated, large red plaques with isolated, bulging blisters. picture reminds of an erythema exsudativum multiforme.
Primary cutaneous follicular center lymphoma: chronically active, increasing for 12 months, localized on the trunk and upper extremities, disseminated, 0.3-0.7 cm in size, asymptomatic, hemispherical, firm, smooth, red papules and nodes.
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.
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