lipoatrophy, localized after glucocorticosteroid injections. general view: 2.5 x 3.0 cm large, circular area with whitish atrophy of the skin and telangiectasia. clear loss of substance of subcutis and fatty tissue. distal of the atrophy a slight swelling in the sense of a lymphatic congestion is visible. the skin changes developed in the course of the last two years, after a single steroid injection into the left knee because of knee problems.
Candida sepsis: Oral mucosa of the previously described patient: Flat, thick, easily scraped off, whitish coating (base underneath slightly bleeding). Masses of C. albicans from oral mucosa swabs were culturally proven.
Pityriasis rosea: clearly visible primary medallion in the right axilla. the red colour typical of the flock in white skin is completely absent in dark skin.
Scabies norvegica: Severe, generalized, untreated scabies of the whole integument with flat, psoriasiform scaly crusts at the back of the head; broad perilesional erythema.
Lichen sclerosus of the penis: pronounced whitish, extensive sclerosing of the glans penis. prepuce with small white papules and plaques. circular constriction of the foreskin by a constricting sclerosis ring.
Vitiligo. solitary or multiple, white, hypopigmented, sharply defined patches. shown here is a detailed picture. further patches were found on the neck region, hands, axillary region, nipples, navel, genito anal region.
naevus anaemicus in periperous neurofibromatosis. coin-sized to palm-sized, almost jagged, white spot (here marked by arrows). this bizarre spot is visible with varying degrees of clarity. it is particularly noticeable when the surrounding area is reddened as a "negative contrast". after intensive rubbing of the spot, no reddening is visible in the area of the spot. .
Hair leukoplakia orale. "Classic finding" with completely sympotmless, not strippable, flat, white plaques in the area of the lateral edge of the tongue in HIV-infected persons.
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