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Senile purpura: Multiple purpuric macules Idiopathic thrombocytopenic purpura: Multiple petechiae on the arm.

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Presentation on theme: "Senile purpura: Multiple purpuric macules Idiopathic thrombocytopenic purpura: Multiple petechiae on the arm."— Presentation transcript:

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4 Senile purpura: Multiple purpuric macules

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6 Idiopathic thrombocytopenic purpura: Multiple petechiae on the arm

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8 Disseminated intravascular coagulation: Extensive geographic cutaneous infarction on the forearm

9 Disseminated intravascular coagulation: Extensive deep purple ecchymoses with hemorragic blister formation

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11 Henoch-Schonlein purpura: Multiple palpable deep purple macules on the extensor side of lower extremities and buttocks

12 Henoch-Schonlein purpura: Small venules show fibrinoid necrosis with considerable red cell extravasation.

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14 Henoch-Schonlein purpura: The DIF of IgA shows granular depositions at the papillary dermis.

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16 Pityriasis lichenoides et varioliformis acuta : Multiple erythematous papules on the back and buttocks

17 Pityriasis lichenoides et varioliformis acuta : Multiple erythematous papules with necrotic and crusted lesions on the buttocks

18 Pityriasis lichenoides et varioliformis acuta : Multiple erythematous papules with necrotic and crusted lesions on the buttocks

19 Pityriasis lichenoides et varioliformis acuta : This view shows basal cell hydropic degeneration, moderate lymphohistiocytic infiltrate at the upper dermis and red cell extravasation.

20 Pityriasis lichenoides et varioliformis acuta : This view shows mild spongiosis, basal cell hydropic degeneration, moderate lymphohistiocytic infiltrate at the upper dermis and red cell extravasation.

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22 Pityriasis lichenoides chronica : Multiple brownish-to-red scaly papules with and crusted lesions

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24 Erythema elevatum diutinum : Multiple erythematous nodules present on the back of the hand.

25 Erythema elevatum diutinum : Multiple erythematous nodules present on the back of the hand.

26 Erythema elevatum diutinum : Multiple erythematous nodules present on the palm and fingers.

27 Erythema elevatum diutinum : Multiple erythematous nodules present on the palm and fingers.

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29 Sweet’s syndrome : Erythematous, edematous plaques on the periorbital area with superficial tiny pustules.

30 Sweet’s syndrome : Erythematous, edematous plaques on the neck with pustules and crusted lesions.

31 Sweet’s syndrome : The epidermis shows subcorneal pustulation. There are diffuse mixed cell infiltrates in the dermis.

32 Sweet’s syndrome : The infiltrate consisted largely of neutrophils.

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34 Polyarteritis nodosa: Several dermal and subcutaneous nodules on the back of the foot.

35 Polyarteritis nodosa: Several erythematous dermal and subcutaneous nodules with ulceration on the foot.

36 Polyarteritis nodosa: Necrotizing vasculitis is seen within the subcutaneous fat.

37 Polyarteritis nodosa: Necrotizing vasculitis is seen within the subcutaneous fat.

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39 Wegener’s granulomatosis: Several erythematous-dark red ulcerating plaques and nodules on the foot.

40 Wegener’s granulomatosis: One erythematous-dark red ulcerating plaque with blister formation.

41 Wegener’s granulomatosis: Extensive necrotizing vasculitis is seen within the dermis with red cell extravasation.

42 Wegener’s granulomatosis: Close-up view shows necrotizing vasculitis with red cell extravasation.

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44 Wegener’s granulomatosis: Nasal mucosa biopsy shows necrotizing vasculitis

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46 Wegener’s granulomatosis: Transbronchial biopsy shows necrotizing vasculitis with extravascular granuloma formation.

47 Wegener’s granulomatosis: Chest films shows cavitation on the right upper lobs.

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49 Dego’s syndrome: Small white papules with central depression and white fine scaling.

50 Dego’s syndrome: There is hyperkeratosis with epidermal atrophy

51 Dego’s syndrome: There is hyperkeratosis with epidermal atrophy with ectatic vessels.

52 Dego’s syndrome: There is hyperkeratosis with epidermal atrophy. Note the ectatic vessels.

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54 Livedo reticularis: A mottled violaceous discoloration of the skin in a net-like pattern.

55 Livedo reticularis: A mottled erythematous discoloration of the skin in a net-like pattern.

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57 Livedoid vasculitis: Multiple purpuric macules

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59 Livedoid vasculitis: Punched-out ulcers are seen on the ankle

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61 Lymphomatoid granulomatosis: Multiple erythematous macules

62 Lymphomatoid granulomatosis: Nodular to ulcerative cutaneous lesions

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64 Lymphomatoid granulomatosis: Nodular lymphoid and/or granulomatous infiltration surrounding the vessels

65 Lymphomatoid granulomatosis: Nodular lymphoid infiltration surrounding the vessles

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67 Purpura pigmentosa chronica: Multiple erythematous patches on the lower leg

68 Purpura pigmentosa chronica: Scaly petechial or purpuric macules

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72 Acne vulgaris: Multiple erythematous papules and pustules

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75 Steroid acne: Multiple erythematous papules and pustules

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79 Neonatal: Multiple erythematous papules and pustules on a neonate

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81 Rosacea: Swollen nose with sebaceous gland hyperplasia and fibrosis

82 Rosacea: Telangiectasia and erythema.

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84 Androgenic alopecia: Alopecia with the typical M-shape pattern

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87 Follicular muconosis: Acute form. Boggy plaques on the face.

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89 Follicular muconosis: Mucin deposition in the follicles. Interfollicular cell infiltrate

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93 Relapsing polychondritis: Erythema, swelling, and pain of the cartilaginous portion of the ear

94 Relapsing polychondritis: Loss of basophilic staining and breakdown of lacunar structure of the cartilage

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96 Relapsing polychondritis: Breakdown of lacunar structure of the cartilage

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98 Eosinophilic pustular folliculitis: Erythematous plaque with superimposed coalescent pustules

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100 Eosinophilic pustular folliculitis: Microabscess composed of eosinophils

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102 Pityrosporum folliculitis: Pruritic eryhematous papules and pustules, primarily on the back, chest, and shoulders

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105 Eosinophilic cellulitis: Recurrent painful or pruiritic plaques

106 Eosinophilic cellulitis: Recurrent painful or pruiritic plaques with bullae

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108 Eosinophilic cellulitis: Diffuse eosinophilic infiltrate throughout the dermis

109 Eosinophilic cellulitis: Diffuse eosinophilic infiltrate throughout the dermis. Flame figures can be seen.


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