Acne excoriée des jeunes filles. multiple, symmetrically distributed, increasing, inflammatory, red papules and pustules as well as comedones and small scars in a 27-year-old woman. originally there were significantly fewer papules and pustules. for about 4 years the patient has tried to express the papules and pustules 2-3 times/week for cosmetic reasons.
Mycosis fungoides tumor stage: Mycosis fungoides has been known for many years, and for several months there has been a continuous occurrence of plaques and nodules on the face and upper extremity.
Dermatitis chronic actinic. detail enlargement: Disseminated, scratched papules and nodules as well as blurred, large-area, red, sharply itching fine-lamellar scaling spots and plaques in the face of a 51-year-old female patient with atopic eczema existing since birth.
lupus erythematodes chronicus discoides: 13-year-old otherwise healthy patient. skin lesions since 6 months, gradually increasing, no photosensitivity. several, centrofacially localized, chronically stationary, touch-sensitive (slight pain when stroking with a wooden spatula), red, slightly scaly plaques. histology and DIF are typical for erythematodes. ANA and ENA negative.
Basal cell carcinoma nodular: Irregularly configured, hardly painful, borderline red nodule (here the clinical suspicion of a basal cell carcinoma can be raised: nodular structure, shiny surface, telangiectasia); extensive decay of the tumor parenchyma in the center of the nodule.
Anticonvulsant hypersensitivity syndrome. 4 weeks after the start of anticonvulsant therapy suddenly appeared, severe clinical picture with fever and exanthema, generalized lymphadenopathy, increase in liver values, leukocytosis with neutrophilia as well as eosinophilia. Uniform, scaling, painful facial redness.
Dyskeratosis follicularis. reflected light microscopy: section of a lesion on the neck. yellowish-white keratin plaques (orthohyperkeratosis) and areas with ball-shaped, ectatic central capillaries (acantholysis area).
Granuloma eosinophilicum faciei (Granuloma faciale): Typical finding in a 72-year-old man. No significant secondary diseases, no medication history. The finding has existed for several years, is slowly progressive. No significant symptoms.
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