Porphyria cutana tarda: discrete finding with which the disease initially presents itself. after banal traumas subclinical blisters develop. here residuals with erosions and shallow ulcerations
Basal cell carcinoma ulcerated: painless plaque on the trunk that has been present for a long time and is slowly growing; for about 3 months constant weeping and crust formation.
Collagenosis, reactive perforating. 12-month-old female patient: Red, solitary, partly confluent, itchy, coarse papules with hyperkeratotic clot on the right lower leg of an 80-year-old female patient.
Zoster ophthalmicus: since 6 days increasing, left-sided headache with accompanying feeling of illness. since 3 days redness and swelling of the skin with stabbing, shooting pain. extensive erythema, blisters, scaly crusts and swelling
Rhagade: Recurrent, painful, deep, extremely schematic skin tear in the hyperkeratotic skin of the heel with underlying psoriasis plantaris, especially in the winter months.
porphyria cutanea tarda. shown here is a detailed picture of the hand with an overall generalized, chronically dynamic infection on the integument of a 55-year-old man. on the right hand, hemorrhagic blisters appear a few hours old next to older, crusty erosions and flat atrophic, somewhat depigmented scars. the blisters appear after banal everyday traumas. the blistering is combined with hyperpigmentation in the face and neck (melanodermic porphyria brugsch) and hypertrichosis lanuginosa of the zygomatic arch.
Erosio interdigitalis candidamycetica: extensive erosion after maceration of the interdigital interdigital skin, with typical whitish macerated, raised edges.
Bednar's aphthae. large, very painful flat ulcers in the vestibulum oris covered with fibrin. 77-year-old patient has been suffering from these aphthous ulcers for 1 year.
Gingivostomatitis, chronic. sharply defined, chronically stationary, burning redness in the area of the contact surfaces of the dental prosthesis. this has resulted in hyperplastic-papillomatous epithelial hyperplasia (palatal papillomatosis). the hard palate and the alveolar processes in the upper jaw are typical localisations affected here.
Acne conglobata: Con dition after extensive healing of an acute flare of acne conglobata; the aggregated, abscessed acne florescences are still recognizable by the red scars visible here.
streptococcal dermatitis, perianal. low infiltrated, well definable, perianal located red plaques and partly erosive, rough papules. sporadic bloody stool deposits. no fever. strong, persistent itching and defecation pain. perinasal impetigo also occurred.
Primary cutaneous anaplastic large cell (CD 30+) lymphoma. Painless, slowly progressive skin ulcer (62-year-old, otherwise healthy woman) which has been present for several months and treated as "pyoderma". Conspicuously raised wall of the ulcer and distinct induration of the reddened edges.
Pemphigus vulgaris. multiple, chronic, since 3 years intermittent, symmetric, trunk-accentuated, easily injured, flaccid, 0.2-3.0 cm large, red blisters confluent to larger, weeping and crusty areas. infestation of the oral mucosa.
Calcinosis dystrophica disseminated: reddened nodules with painful central ulcerations and visible calcifications; the changes occurred bilaterally in the underlying progressive systemic scleroderma.
lymphoma, cutaneous T-cell lymphoma, large-cell, CD30-positive. detailed view: multiple, chronically dynamic, increasing, non-displaceable, confluent, hemispherical nodules covering a total area of 6 x 6 cm with hard, central, red part and deep, crater-shaped ulceration in a 64-year-old patient. the ulceration is covered with thick, yellowish coatings. the surrounding area of the ulceration is raised, livid-red and partly erosive weeping.
Pyoderma gangraenosum: Continuously progressive, very painful, greasy ulcers on the right lower leg in a 71-year-old female patient with a plasmocytoma.
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