
Splinter hemorrhages
Splinter hemorrhage: Reflected light microscopic image with a few days old splinter hemorrhage.

Bullous Pemphigoid L12.0
Pemphigoid, bullous. general view: state of healing. Disseminated, sharply defined or confluent, brownish or livid, postinflammatory hyperpigmentation in a 55-year-old female patient.

Nail hematoma T14.05
DD: Nail hematoma - here Melanonychia longitudinalis: Typical finding of a melanocytic pigmentation of the nail. Melanon grows in stripes, starting at the site of pigment formation (here the nail root is not visible) to the front. This finding is not observed in a nail hematoma. Note: the nail matrix shows a dark discoloration at the front edge of the cut (pigment is embedded in the nail matrix).

Erythrasma L08.10
Erythrasma: sharply defined, extensive, non-itching brownish discoloration in the armpit area.

Amiodarone hyperpigmentation T78.9
Amiodarone hyperpigmentation: cyanosis-likeamiodarone hyperpigmentation after long-term application of the preparation due to tachyarrhythmia.

Extrinsic skin aging L98.8
Light ageing of the skin: spotty skin with small hyperpigmentations (solar lentigines) and actinic keratosis.

Maculopapular cutaneous mastocytosis Q82.2
Urticaria pigmentosa: variously large, disseminated, flat, oval or round, brownish-red spots on trunk, buttocks and thighs; 27-year-old female patient. Continuous proliferation of spots for years. No evidence of systemic infestation. See findings 10 years later.

Maculopapular cutaneous mastocytosis Q82.2
Urticaria pigmentosa:differently sized, disseminated, flat, oval or round, brownish-red spots on the trunk, buttocks and thighs; 52-year-old female patient. Continuous proliferation of the spots for years. No evidence of systemic infestation.

Lentigo maligna melanoma C43.L
Lentigo-maligna melanoma: a slow-growing, initially homogeneously brown, then multicoloured, black "spot", which has been known for several years and can now be felt in places as a sublimity.

Lentigo maligna D03.-
Lentigo solaris. solitary, chronically stationary, 0.8 x 0.6 cm large, sharply defined, inhomogeneously coloured, symptomless, brown, smooth spot. 74-year-old female patient with strong UV exposure.

Melanoma cutaneous C43.-
Differential diagnosis of discoloration of the nail: Melanocytic neoplasms of the nail matrix always lead to longitudinal striation of the nail plate.

Mixed connective tissue disease M35.10
Mixed connective tissue disease: deep red, blurred, poicilodermatic spots and plaques; central brown discoloration, reticular scarring.

Melanotic spots of the mucous membranes L81.4
Lentigo of the mucous membrane. 10 years of persistent, irregular, blurred, brown-black macular in the area of the inner side of the labia in a 59-year-old female patient.

Acromegaly E22.0
Acromegaly: 43-year-old patient with known acromegaly. Noticeable increase in size of the lower extremities. Simultaneous development of excessive varicosis with consecutive chronic venous insufficiency (CVI).

Lentigo solaris L81.4
Lentigo solaris. detail enlargement: multiple, disseminated, a few millimetres up to 1.5 centimetres in size, oval, roundish or bizarrely configured, sharply defined, yellow-brown to dark brown spots on the capillitium of a 68-year-old man.

Melanotic spots of the mucous membranes L81.4
Lentigo of the mucosa: harmless lentigo ofthe vulva which has persisted unchanged for several years, irregular and blurredly limited, symptomless, brown-black lentigo of the vulva (on the left side of the labia majora overlapping the thigh bend, sign of vitiligo).

Maculopapular cutaneous mastocytosis Q82.2
Urticaria pigmentosa: about 0.5-1.0cm in size, disseminated, oval or round, brownish-red spots. only when rubbed, increased redness of the spots with accompanying itching. also with warm showers or baths, increased redness and clearly palpable elevation of the lesions.