Mucinosis follicularis: itchy, disseminated, follicular, well-defined, pointed, skin-coloured papules with firmly adhering hyperkeratosis on the back and the lateral thoracic parts; clinical picture of a "grating iron skin".
Connective tissue nevus, lumbosacral. 30-year-old woman, in whom these changes had been present since earliest childhood. Clinically, in the sacral region, sharply defined, very firm, partly rubbery, slightly raised above the skin level, cobblestone-like arranged, whitish papules and plaques with smooth surface are found. Localization and clinic are characteristic for the diagnosis. Secondary findings are angiofibromas in the face.
Graft-versus-Host-Disease, chronic. 2 years after stem cell transplantation, large-area scleroderma and poikiloderma skin alterations with considerable movement restriction.
Type I Neurofibromatosis, peripheral type or classic cutaneous form. Since puberty slowly increasing formation of these soft, skin-coloured or slightly brownish, painless papules and nodules. Several café-au-lait spots.
Atrophy.striae cutis distensae.53-year-old patient who has been treated externally and internally with glucocorticoids for one year. striae cutis distensae without subjective symptoms. 2-3 mm wide flat atrophic lesions running in transverse direction to the skin tension with a parchment-like surface. the red tone is caused by the rupture of the connective tissue and atrophy of the surface so that vessels can shine through.
scleroderma, circumscribed. generalized CS. blurred, clearly indurred, whitish atrophic plaques without any signs of inflammation, which do not move towards the lower surface. subjectively there is a slight feeling of tension. the trunk of the body is a typical predilection site.
Mucinosis follicularis: acute clinical picture developed after heavy sweating; multiple, generalised, 0.1 cm large, itchy, skin-coloured, pointed conical, rough papules bound to follicles.
Lipoma: A subcutaneous lump which has existed for years, is completely unattractive and asymptomatic, can be easily defined and is movable above the underlying tissue and which has developed after an upper abdominal operation.
Lichen myxoedematosus: Lichenoids, clearly increased in consistency, skin-coloured to yellowish-reddish papules in the area of the upper back and the extensor sides of the extremities; accompanying pruritus.
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