
Depigmented nevus D22.L
Differential diagnosis: Depigmented nevus: Anaemic nevus. Irregularly scattered edges of the stain. No hyperemia after rubbing.

Iris diaphragm phenomenon I73.8

Striated leukonychia L60.8
Leuconychia striata: Detail: The 48-year-old patient reported a color change (blue-white) of the finger ends within the last 6 months and additionally noticed the formation of white horizontal stripes on the nail plate.

Pityriasis versicolor (overview) B36.0
Pityriaisis versicolor alba: irregularly distributed, symptomless (slight feeling of tension in the skin) bright spots, which now appeared and were noticed after a sun holiday.

Pityriasis versicolor alba B36.0
Pityriasis versicolor alba: Close-up, spatter-like and fine spotted depigmentation with fine surface scaling.

Pityriasis versicolor (overview) B36.0
Pityriasis versicolor alba: Depigmentation after the fungal infection has already healed, negative effect with subsequent tanning of the skin.

Extrinsic skin aging L98.8
Chronic photo-aging of the skin: only moderately pronounced photo-aging of the skin; flat, regular base tan; slight signs of lentigia; numerous splashes of depigmentation.

Depigmented nevus D22.L
Naevus depigmentosus: congenital harmless localized pigment disorder, no surface progression. characteristic is, in contrast to the naevus anaemicus, the "calm" smooth-edged border of the spot.

Idiopathic guttate hypomelanosis L81.5
Hypomelanosis guttata idiopathica. multiple, 0.2-0.4 cm large, round, symptomless, white, slightly rough spots, persisting for months/years. DD: Stuccokeratoses

Nevus anaemicus Q82.5
naevus anaemicus: congenital, marginal irregularly dissected, white, smooth spots. no redness after rubbing the spot. on glass spatula pressure the borders to the surrounding area disappear. brown colored, intralesional melanocytic naevi (speaks against vitiligo!)

Pityriasis versicolor (overview) B36.0
Pityriasis versicolor alba: vertical arrows mark the affected (depigmented) skin, encircling the normally tanned skin.

Idiopathic guttate hypomelanosis L81.5
Hypomelanosis guttata idiopathica: Disseminated, different sized, roundish, sharply defined, white patches on the lower leg of a 74-year-old patient; slight lesional scaling; solar lentigines.

Flash lamps
Flashlamps (side effects of the therapy): streaky hypopigmentation after IPL depilation, hair growth unchanged

Acrocyanosis I73.81; R23.0;
Acrocyanosis: Diffuse, reddish-livid skin discolouration at reduced temperature and doughy swelling; delayed filling of the vessel after anaemia by finger pressure (iris diaphragm phenomenon).

Vitiligo (overview) L80
Vitiligo: spots depigmented with varying degrees of intensity. vertical arrow above: focus in advanced uniform repigmentation. horizontal arrow: uniform but still incomplete repigmentation. vertical arrow below: new roundish focus in older already (incomplete) repigmented area.

Nappes claires C84.4
Nappes claires: almost erythrodermic poicolodermatic form of Mycosis fungoides, splashes of light skin in the large mycotic plaques.