artefacts. numerous, partly excoriated papules in the sense of scratch artefacts on the breasts of a 34-year-old woman. the patient denies the artefact component. rapid healing under bandages (diagnostically almost proving an artificial mechanism)
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.
Lymphomatoid papulosis: Painless, flat papules and nodules with central scaling and crust formation, appearing intermittently for more than 1 year, 0.3 - 1.2 cm in size. 45-year-old otherwise healthy male.
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.
Collagenosis, reactive perforating. 12 monthsago for the first time appeared itchy papules of different size with central depression and hyperkeratotic plug.
artifacts. few partially excoriated papules in the sense of scratch artifacts on the breasts of a 35-year-old woman. the patient denies the artifact component. rapid healing under bandages (diagnostically almost proving artificial mechanism).
Collagenosis, reactive perforating. 12-month-old female patient: Itchy papules with a central depression and a hyperkeratotic clot on the upper back and the upper arm extensor sides.
Prurigo gestationis: 32-year-old female patient in the 6th month of pregnancy with increasing, severe itching, pruriginous rash; fresh effglorescence is not detectable, only scratched papules.
Toxic epidermal necrolysis. 2 weeks after taking Allopurinol in recurrent attacks of gout, itching and redness on the back for the first time, within a few days dramatic worsening of the general condition with several acute, flat, generalized, randomly distributed, sharply defined, red, weeping and painful erosions. Additional findings were multiple, acute, asymmetrically arranged, disseminated, skin-coloured blisters on a flat erythema on the remaining integument.
Zoster. 6 days of persistent segmental erosions, partly crusty, on the back of a 66-year-old, very obese female patient. The right axilla showed identical skin lesions.
Toxic epidermal necrolysis. detailed view of a solitary, acutely occurring, perimamillary, sharply defined, slightly weeping, extensive, erosive detachment of the skin. the sample biopsies showed a vacuum-associated interfacial dermatitis with epidermal keratinocyte necroses.
Acne conglobata: inflammatory, also abscessing nodules, bowl-shaped atrophic scars. continuous course of acne since puberty. the skin symptoms are combined with severe acne inversa of the axillae and inguinal regions.
Collagenosis, reactive perforating. detail enlargement: solitary, 0.3-1.3 cm large, red papules with a coarse central horn plug. the smaller papules correspond to an early stage of the disease.
Acne fulminans: for months, known Acne vulgaris; now for several months intermittent febrile occurrence of rapidly melting, painful pustules Laboratory: inflammation parameters significantly increased, neutrophil leukocytosis (>10.000/ul)
Pyoderma gangaenosum : Chronic, since more than 1 year progressive, large, flat, barely purulent ulcer with rounded, raised edges; sequence of images under immunosuppressive therapy in a six-month period
Basal cell carcinoma ulcerated: painless plaque on the trunk that has been present for a long time and is slowly growing; for about 3 months constant weeping and crust formation.
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