Hyalinosis cutis et mucosae. increasing fleshy macroglossia with loss of tongue mobility. paving stone like aggregated white-grey papules on the lower lip red.
Lichen planus mucosae. small spots (splashes) of white or opaline stains and papules of the buccal mucosa, which condense to flat plaques at the end of the teeth. the mucosal changes have been present for 6 months and do not cause any significant discomfort.
Differential diagnosis "Naevus anaemicus"; naevus depigmentosus; congenital white spot, calm, not cracked boundary pattern, after vigorous rubbing the lesional skin reacts with nromal reactive redness.
Knotig polypoides collagenoma (solitary, nodular non-pigmented lesion): Dermatoscopy: Radially arranged, tortuous and partially branched vessels with white structureless area and white plaques. DD: Knotig basalioma, pilomatrixoma, sebaceous gland hyperplasia.
Lichen sclerosus extragenitaler: unusual (solitary) localization of a (histologically confirmed) extragenital Lichen sclerosus. A slight induration of the area is proven. No itching.
Atrophie blanche. reflected light microscopy (section of a lesion on the lower leg): Atrophic-diluted, transparent epidermis with subepidermal, meander-like tangled vascular convolutes and blood leaks of different ages; whitish opaque, unstructured skin areas (fibrotic connective tissue) are also visible.
bladder. traumatically induced subepithelial bladder in Epidermolysis bullosa simplex. 7-year-old boy, who develops blisters at the heel since the age of 3 years mainly in the warm season after simple exertion. at the upper pole a fresh bulging bladder with a slight inflammatory accompanying reaction is visible. in the picture on the left side a bladder remnant with raised bladder cover is visible. the finding speaks for a traumatic blister formation. since these blisters are induced by banal traumas a corresponding predisposition can be assumed.
Lichen sclerosus of the vulva: pronounced smooth whitish sclerosis of the vulva and penineum; extensive atrophy of the small labia with gaping vagina. 7-year-old girl; changes of the lichen sclerosus for several years.
Lichen planus exanthematicus: for several months persistent, itchy, generalized, dense rash with emphasis on the trunk and extremities (face not affected); as single florescence a 0.1-0.2 cm large, rounded, brown to reddish-white papules and plaques with a verrucous surface appear.
Candidosis of the oral mucosa. multiple, on the hard and soft palate localized, single standing, partly confluent, white to grey-white plaques which can be easily scraped off. sometimes burning of the tongue
Please login to access all articles, images, and functions.
Our content is available exclusively to medical professionals. If you have already registered, please login. If you haven't, you can register for free (medical professionals only).
Please complete your registration to access all articles and images.
To gain access, you must complete your registration. You either haven't confirmed your e-mail address or we still need proof that you are a member of the medical profession.