Elastoidosis cutanea nodularis et cystica: multiple, chronic inpatient, symptom-free, black comedones (see periorbital region) as well as soft, yellowish papules and nodules. 72-year-old man with massive chronic UV exposure over decades.
Basal cell carcinoma, nodular. 74-year-old female patient, solitary, continuously growing for 2 years, measuring 1.5 x 1.2 cm, indolent, firm, skin-coloured, covered with telangiectases, rough, knot with a bulging, shiny surface.
Scabies in a 3-year-old boy: since several months existing, massively itching, generalized clinical picture, with disseminated scaly papules and plaques. here, infestation of the palms. detailed view.
Fibrokeratome, acquired, digital. 3 years old, slightly pressure-sensitive, skin-coloured papule in the area of the inner nail fold of the right index in a 66-year-old female patient. Currently after partial nail extraction 15 years ago. Partial overgrowth of the papule through the split nail.
Verrucae vulgares: linearly arranged, broad-based, white-grey, symptomatic papules (Remark: in a moist mucosal environment all cornification processes - whether inflammatory or neoplastic - turn grey-white, the cause is relatively simple: the horny layer stores a lot of water - as can be seen when bathing the palms of the hands for a longer period of time - and thus obtains this opalescent colouring, which is not transparent for the "colour red"; the normal cheek mucosa does not cornify, so it remains transparent, the red colour of the mucosa shimmers through).
Adenoma sebaceum: diffuse distribution of skin-coloured, shiny papules and plaques. conspicuously bizarre telangiectasias, partly present in the papules and in the surrounding area. no folliculitis, no comedones.
Granuloma anulare, classic type . borderline, in the centre skin-coloured, smooth, painless, firm plaque with the formation of an indicated ring shape without scaling over the middle joint of the left middle finger (fingers are predilection sites). no itching.
Verrucae planae juveniles. slightly reddish, partly also brownish and skin-coloured, densely and in places linearly arranged small papules with a matte surface in the face of a 9-year-old female patient. autoinoculation by scratching (Koebner phenomenon). despite extensive findings, a sudden (inexplicable) spontaneous healing occurred after a long-term treatment with a mild keratolytic external therapy (unsuccessful).
Collagenosis, reactive perforating. detail enlargement: solitary, 0.3-1.3 cm large, red papules with a coarse central horn plug. the smaller papules correspond to an early stage of the disease.
Hirsuties papillaris penis. 45-year-old man has rows of chronically stationary papillary or filiform whitish nodules at the proximal edge of the glans penis at the transition to the sulcus coronarius.
Adenoma sebaceum: disseminated, densely packed, chronically stationary (no dynamic development), completely asymptomatic, reddish-brownish, 0.1-0.4 cm in size, red, reddish-brown and skin-coloured, individually standing and aggregated papules with symmetrical, centrofacial emphasis; slight seborrhoea; no comedones.
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