
Erythema dyschromicum perstans L81.02

Hemochromatosis E83.1
Hemochromatosis: discrete spotty and streaky, symptomless hyperpigmentation on both lower extremities.

Melanotic spots of the mucous membranes L81.4
Lentigo of the mucous membrane; for more than 1 year existing, about 2 cm in diameter, irregular but sharply defined, band-shaped, dark brown macula in the region of the inner preputial leaf of a 72-year-old man.

Lentigo maligna D03.-
Lentigo maligna: a slow-growing, heterogeneously pigmented, light to dark brown, asymmetrical spot with irregularly lobed edges on the left cheek of a 68-year-old woman with skin type I, known for several years.

Melanotic spots of the mucous membranes L81.4
Lentigo of the mucosa: sharply defined, brownish hyperpigmentation in the sense of gingivamelanosis along the lower row of teeth in a 36-year-old female patient.

Melanotic spots of the mucous membranes L81.4
lentigo of the mucosa. incident light microscopy: brown to greyish-brown pigment streaks and pigment clusters as well as bluish-grey melanophagus agglomerates in the lower lip red. melanoma features are not present. noticeable is the blurred border with the spatter-like pigmentation. this pigmentation of a previously unpigmented mucosa, typical for the mucosa, results in the jagged clinical border.

Lentigo solaris L81.4
Lentigo solaris: multiple, disseminated, a few millimetres to 1.5 centimetres in size, oval, roundish or bizarrely configured, sharply defined, yellowish brown to dark brown spots on the capillitium of a 68-year-old man with skin type I. Likewise there are isolated small actinic keratoses as well as alopecia androgenetica of the man in stage IV.

Nail hematoma T14.05
Nail hematoma: direct comparison of the outgrowing nail hematoma. Lower left after 8 weeks. On the right the reflected light microscopic images.

Melanotic spots of the mucous membranes L81.4
Idiopathic lentigo of the mucosa: solitary symptomless hyperpigmentation that has remained unchanged for years; therapy is not necessary.

Purpura eczematid-like purpura L81.7
Purpura eczematide-like purpura: non-symptomatic (no itching) eczema-like disease that has been recurrent for months in a completely healthy patient (no history of medication).

Self-tanning lotion
Self-tanner: uneven browning of the cheek area after application of a self-tanning external layer.

Lentigo maligna D03.-
Lentigo maligna with transition to a lentigo maligna melanoma: 68-year-old man, presenting in practice because of eczema. On questioning the completely symptomless "spot" on the earlobe has slowly grown over the years. Excision with histology: Both parts of a lentigo maligna and (central) parts of a lentigo maligna melanoma, TD 0.4mm, pT1a.

Amiodarone hyperpigmentation T78.9
Amiodarone hyperpigmentation: bizarrely configured, flat grey-blue veils reaching far beyond the hairline; on the left side large scar after surgery of a basal cell carcinoma.

Atrophodermia idiopathica et progressiva L90.3
Atrophodermia idiopathica et progressiva: Large, red, confluent, barely palpable, smooth, sharply defined, symptom-free patches/plaques that slowly expand over months.

Incontinentia pigmenti (Bloch-Sulzberger) Q82.3

Lupus erythematodes chronicus discoides L93.0
Lupus erythematodes chronicus discoides. 5 years of persistent recurrent skin changes in a 25-year-old girl, despite disease-adapted therapy measures. Large flat, soft-red plaque (with still preserved follicles). Conspicuous (re-)pigmentation within a few weeks in the lesional skin (which was hypopigmented before).

Hyperpigmentation caloric L81.8
Hyperpigmentation caloric. for several years irregular heat applications due to back problems.

Nevus spilus L81.4
Naevus spilus resembling a cafe-au-lait spot, sharply defined towards the midline, which identifies this pigment nevus as a cutaneous mosaic. Rather discrete internal pigmentation.