Behçet syndrome. large ulcerations on both sides of the introitus vaginae. Fig. takenfrom: Eiko E. Petersen, Colour Atlas of Vulva Diseases. with permission of Kaymogyn GmbH Freiburg.
Pustulosis palmaris et plantaris: multiple, acute, disseminated, 0.2-0.4 cm large, smooth yellowish pustules next to older, dried-up brown spots on the palm of a 42-year-old man. Occurs on both palms in an acute, febrile streptococcal angina.
Psoriasis of the hands: here partial manifestation in the context of generalized psoriasis. No preexisting conditions. The acral affection led to massive psoriatic onychodystrophies (crumb nails).
Verrucae vulgares (detailed picture): flat wart bed with subungual infiltration. This constellation results in considerable therapeutic complications. It is important to exclude a verrucous carcinoma.
Lichen myxoedematosus: Densely standing, skin-colored, also light-glassy appearing, clearly increased in consistency, only slightly itchy, shiny, 0.1-0.2 cm large (not follicular - do not notice any relation to the follicles demonstrably) nodules (border area); clear linear arrangement of the nodules.
Scabies: long-term untreated, only moderately itchy scabies, with infestation of the entire integument. eczematous, pyodermic skin lesions on the fingers. remark: clear neglect of the patient
psoriasis of the hands: here partial manifestation of generalized psoriasis. hyperkeratotic plaques on the fingers. massive onychodystrophy (crumbly nails)
Spotted nails + psoriatic onycholysis: pronounced pit-shaped nail dystrophies (so-called spots) in known psoriasis; distal area of the nail lifted from its base by a subungual psoriatic lesion (onycholysis).
Xanthogranuloma juveniles (sensu strictu). softly elastic, yellowish, completely asymptomatic, hardly elevated plaques with slightly coarsened surface relief. no Darier sign! 10-month-old female infant with multiple xanthogranulomas. size growth in the first months of life.
Squamous cell carcinoma of the skin: a red, very firm, painless lump on actinic damaged skin that has existed for at least 2 years, initially slowly increasing, but in the last 2 months growing significantly faster, 2.5 x 1.5 cm in size; central, firmly adhering horn plug that can be moved against the base.
Favus: multiple asymptomatic plaques in a 6-year-old boy, existing since 4 weeks, sharply defined, clearly increased in consistency, with yellow scaly crusts.
In a 62-year-old patient with known CLL (chronic lymphocytic leukemia) a sudden eruption of several, slightly painfulpustules occurred. Findings: On erythematous ground grouped and solitary follicular pustules are visible. In the smear of the pustule aureus staphylococcus aureus can be detected in large numbers.
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