Color Plates

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' Plate 1.' Macule (café au lait spot) plus a nodule (neurofibroma).

' Plate 2.' Common warts. Papules (verrucae). Note verrucous surface.

' Plate 3.' Plaques (psoriasis). Note special physical characteristic of scale (silvery, micaceous). Typical location: extensor surfaces (knee).

' Plate 4.' Wheal (urticaria). Note central cleaning, giving annular configuration.

' Plate 5.' Vesicles (herpes simplex). Note umbilication characteristic of viral infection and herpetiform grouping.

' Plate 6.' Bullae (bullous pemphigoid). Note hemorrhagic nature suggesting subepidermal process.

' Plate 7.' Pustules (rosacea). Note also the presence of telangiectasia.

' Plate 8.' Scale (pityriasis rosea). Shows example of how unique scaling (collarette of fine scale within several lesions), distribution and shape of lesions (oval lesions with long axis paralleling natural skin cleavage lines), and color (salmon-pink) help in diagnosing skin disease.

' Plate 9.' Atrophy (striae). Thinning of both the epidermis and dermis contributes to the development of striae.

' Plate 10.' Lichenification (atopic dermatitis). Note erythema and pinpoint excoriations in antecubital fossa (typical location for atopic dermatitis—flexural).

' Plate 11.' Fissures (chronic irritant hand dermatitis). Note superficial fissures in folds along with erythema, lichenification, scaling, and vesicles.

' Plate 12.' Ulcer (stasis dermatitis with ulcer). Note moist ulcer base and typical location near lateral malleolus plus associated dermatitis and statis pigmentation.

' Plate 13.' Scarring process (morphea). Note ivory white color due to deposition of collagen and loss of hair appendages.

' Plate 14.' Crusts (impetigo). Note both hemorrhagic and honey-colored crust.

' Plate 15.' Oozing (acute dermatitis). Note multiple erosions with oozing wet glistening surface.

' Plate 16.' Zosteriform lesions (herpes zoster). Note hemorrhagic vesicular involvement of left VI cranial nerve.

' Plate 17.' Annular lesion (tinea corporis). Note raised (expanding) erythematous scaling border and central clearing.

' Plate 18.' Iris and arcuate lesions (erythema multiforme). Note erythematous lesions with multiform configurations—target, arcurate, and vesicles.

' Plate 19.' Serpiginous lesion (cutaneous larva migrans, creeping eruption). Note snakelike tract of ankylostoma or strongyloides larvae infection of the skin.

' Plate 20.' Purpuric lesion (purpura fulminans). Note stellate purpuric lesion with surrounding erythema characteristic of disseminated intravascular coagulation secondary to sepsis (e.g., meningococcemia).

' Plate 21.' Melanin pigment (melanoma). Note variations of hues of color (black and blue) reflecting depth of melanin within the skin and pigment extending laterally at the base.

' Plate 22.' Linear hypal element present within a clump of keratinocytes. (Courtesy James C. Shaw, MD.)

' 'Plate 23.Sarcoptes scabiei in a potassium hydroxide wet mount (×40). (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 24.' Multinucleated keratinocytes pathognomonic of herpes viral infections.

' Plate 25.' Acne classification of lesions. (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 26.' Inverse psoriasis. Sharp demarcation in the groin with scrotal involvement. (Courtesy James C. Shaw, MD.)

' Plate 27.' Plaques of psoriasis on the glans penis. (Courtesy James C. Shaw, MD.)

' Plate 28.' Psoriatic nail changes. Note nail dystrophy and accumulation of yellow subungual debris resembling onychomycosis, plus associated cutaneous psoriatic lesions.

' Plate 29.' Reiter's syndrome (keratoderma blennorrhagicum). Note erythematous and pustular plaques on the palm.

' Plate 30.' Pityriasis rosea. Herald patch. (Courtesy James C. Shaw, MD.)

' Plate 31.' Lichen planus. Note polygonal purple, flat, shiny topped papules in typical area (ankles).

' Plate 32.' Oral lichen planus. Note lacy white streaks on buccal mucosa.

' Plate 33.' Seborrheic dermatitis. (From Habif TP: Clinical dermatology, ed 2, St Louis, 1990, Mosby.)

' Plate 34.' Atopic dermatitis. Classic appearance of confluent papules forming plaques in the antecubital fossa. (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, 1996, St Louis, Mosby.)

' Plate 35.' Allergic contact dermatitis (poison oak, acute vesicular reaction, and linear features). Dark central pigmentation is oxidized oleoresin.

' Plate 36.' Xerotic dermatitis. (Courtesy James C. Shaw, MD.)

' Plate 37.' Dyshidrotic dermatitis. Severe vesicular hand eruption. (Courtesy James C. Shaw, MD.)

' Plate 38.' Nummular dermatitis. Typical localized patch of dermatitis. (Courtesy James C. Shaw, MD.)

' Plate 39.' Lichen simplex chronicus and prurigo nodules. Note lichenification and excoriated papules that involve only an area on the back that can be reached.

' Plate 40.' Melanocytic nevus. Note slightly raised tan brown papule. (Courtesy James C. Shaw, MD.)

' Plate 41.' Blue nevus. Blue-gray color that can resemble melanoma. (Courtesy James C. Shaw, MD.)

' Plate 42.' Atypical nevus. Note large irregular configuration with some red hue. (Courtesy James C. Shaw, MD.)

' Plate 43.' Chondrodermatitis nodularis. Note location on pressure point (antihelix). (Courtesy James C. Shaw, MD.)

' Plate 44.' Keloid. Firm mass on extremity. (Courtesy James C. Shaw, MD.)

' Plate 45.' Seborrheic keratoses. Multiple dark epidermal lesions with obvious texture. (Courtesy James C. Shaw, MD.)

' Plate 46.' Pyogenic granuloma. Raised friable lesion resembling granulation tissue. (Courtesy James C. Shaw, MD.)

' Plate 47.' Dermatofibroma. Discrete firm nodule, frequently hyperpigmented. (Courtesy James C. Shaw, MD.)

' Plate 48.' Basal cell carcinoma. The blood vessels are haphazardly distributed over the entire surface. (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 49.' Basal cell carcinoma. Note rolled translucent border and central ulceration in typical facial location.

' Plate 50.' Sclerosing basal cell carcinoma. (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 51.' Superficial basal cell carcinoma. Subtle findings with slight raised pearly border. (Courtesy James C. Shaw, MD.)

' Plate 52.' Actinic keratosis. Hyperkeratotic lesion on sun-exposed foreheard. (Courtesy James C. Shaw, MD.)

' Plate 53.' Bowen's disease (squamous cell carcinoma in situ). Thin erythematous-brown plaque. (Courtesy James C. Shaw, MD.)

' Plate 54.' Keratoacanthoma. Typical dome-shaped nodule with central keratin plug. (Courtesy James C. Shaw, MD.)

' Plate 55.' Squamous cell carcinoma. Nodular hyperkeratotic lesion with central erosion.

' Plate 56.' Melanoma—superficial spreading. Typical irregular border and variegate color. (Courtesy James C. Shaw, MD.)

' Plate 57.' Mycosis fungoides. Lesions typical of the eczematous form or the patch stage. Persistent, flat, red, itchy, well-circumscribed patches can persist for months or years. (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 58.' Mycosis fungoides. Plaque and tumor stages. (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 59.' Leukemia cutis. Erythematous nodular tumors. (Courtesy James C. Shaw, MD.)

' Plate 60.' Firm red-brown dermal nodules in cutaneous metastatic breast carcinoma. (Courtesy James C. Shaw, MD.)

' Plate 61.' Leukocytoclastic vasculitis. Note bilateral purpuric lesions on distal lower extremity. (Courtesy James C. Shaw, MD.)

' Plate 62.' Churg-Strauss vasculitis. Erythematous nodules with vascular livedo pattern. (Courtesy James C. Shaw, MD.)

' Plate 63.' Antiphospholipid antibody syndrome. Livedo pattern of purpura. (Courtesy James C. Shaw, MD.)

' Plate 64.' Necrobiosis lipoidica diabeticorum. Note red-brown atrophic plaque with telangiectasia.

' Plate 65.' Eruptive xanthomas. Yellow to red papules. (Courtesy James C. Shaw, MD.)

' Plate 66.' Sarcoidosis. Papular type.

' Plate 67.' Sarcoidosis. Plaque Type. (Courtesy James C. Shaw, MD.)

' Plate 68.' Sarcoidosis. Lupus pernio type. (Courtesy James C. Shaw, MD.)

' Plate 69.' Porphyria cutanea tarda. Typical erosive changes on the sun-exposed hands (Courtesy James C. Shaw, MD.)

' Plate 70.' Pyoderma gangrenosum. Note ragged ulcerations with surrounding erythema.

' Plate 71.' Sweet's syndrome. Typical erythematous nodules on the trunk. (Courtesy James C. Shaw, MD.)

' Plate 72.' Pemphigus vulgaris. Large erosion on the scalp. (Courtesy James C. Shaw, MD.)

' Plate 73.' Dermatitis herpetiformis. Typical grouped papulovesicles. (Courtesy James C. Shaw, MD.)

' Plate 74.' Erysipelas. Typical facial location with superficial cellulitis. (Courtesy James C. Shaw, MD.)

' Plate 75.' Cellulitis. Note advancing irregular border. (Courtesy James C. Shaw, MD.)

' Plate 76.' Tinea faciale. Annular scaling lesion. (Courtesy James C. Shaw, MD.)

' Plate 77.' Candidiasis. Note erythematous erosive dermatitis with satellite pustules.

' Plate 78.' Herpes zoster. Typical dermatomal involvement. (Courtesy James C. Shaw, MD.)

' Plate 79.' Molluscum contagiosum (may appear in atypical manner in HIV-positive patients). Note large-size varicoid appearance and central keratin plugging.

' Plate 80.' Body lice and nits on a patient's clothing. (Courtesy James C. Shaw, MD.)

' Plate 81.' Scabies. Note involvement in web space and wrist. (Courtesy James C. Shaw, MD.)

' Plate 82.' Scabies burrow. Note subtle raised linear lesion on the lateral aspect of the finger.

' Plate 83.' Scabies, penile involvement. (Courtesy James C. Shaw, MD.)

' Plate 84.' Alopecia areata. Circular patches of alopecia. (Courtesy James C. Shaw, MD.)

' Plate 85.' Habit tic deformity. Note the pathognomonic horizontal ridges.

' Plate 86.' Melasma (mask of pregnancy). Diffuse brown hyperpigmentation may occur during pregnancy or while taking oral contraceptives. (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 87.' Mongolian spot. Bluish pigment reflects dermal melanin. (Courtesy James C. Shaw, MD.)

' Plate 88.' Nevus spilus. Typical speckled pigmentation. (Courtesy James C. Shaw, MD.)

' Plate 89.' Vitiligo. Note complete absence of pigmentation in involved area. (Courtesy James C. Shaw, MD.)

' Plate 90.' Erythema multiforme. Target lesion. (Courtesy James C. Shaw, MD.)

' Plate 91.' Stevens-Johnson syndrome (severe form of erythema multiforme with mucous membrane involvement). Note hemorrhagic erosive crusting of the lips and tongue.

' Plate 92.' Toxic epidermal necrolysis begins with diffuse hot erythema. In hours the skin becomes painful and with slight thumb pressure the skin wrinkles, slides laterally, and separates from the dermis (Nikolsky's sign). (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 93.' Erythema nodosum. Pretibial location typical. (Courtesy James C. Shaw, MD.)

' Plate 94.' Granuloma annulare. Note erythematous plaques of confluent papules arranged in an annular shape.

' Plate 95.' Morbilliform drug eruption. (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 96.' Minocycline pigmentation. Note typical blue-gray color. (Courtesy James C. Shaw, MD.)

' Plate 97.' Fixed drug eruption. A single sharply demarcated, round plaque appeared shortly after trimethoprim was taken. (From Habif TP: Clinical dermatology: a color guide to diagnosis and therapy, ed 3, St Louis, 1996, Mosby.)

' Plate 98.' Lichenoid drug eruption from penicillamine. (Courtesy James C. Shaw, MD.)

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Color Plates

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