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Inflammatory
DermAtlas_GW_-10.25.2023-58751014 -  dermatomyositis
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

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DermAtlas_GW_-10.25.2023-58751014 - dermatomyositis
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Condition:
JDD C4794 Figure 1 Sweets 21_4
Acute Febrile Neutrophilic Dermatosis: Acute febrile neutrophilic dermatosis is classically characterized by edematous red tender papules and nodules on the skin in combination with fever and other systemic symptoms. Notice how the appearance of erythema can actually appear violaceous to bluish as the skin tones get darker.

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JDD C4794 Figure 1 Sweets 21_4


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JDD C5566 Pyoderma Gangrenosum Figure 3 20_1
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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JDD C5566 Pyoderma Gangrenosum Figure 3 20_1
https://cms.sanovaworks.com/uploads/2023/07/a26249ae1ac2ec15dfe7668971548c57-small.jpg
JDD M5751 Figure 2 Vitiligo 20_5
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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JDD M5751 Figure 2 Vitiligo 20_5
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Condition:
JDD M5751 Figure 4 Vitiligo 20_5
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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JDD M5751 Figure 4 Vitiligo 20_5
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Condition:
DermAtlas_GW_-10.25.2023-58751015
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_GW_-10.25.2023-58751015
https://cms.sanovaworks.com/uploads/2023/12/7bd4f79ab776435a3599c39d1943cdd5-small.jpg
Condition:
DermAtlas 11.13.2023-59567431
Acute Febrile Neutrophilic Dermatosis: Acute febrile neutrophilic dermatosis is classically characterized by edematous red tender papules and nodules on the skin in combination with fever and other systemic symptoms. Notice how the appearance of erythema can actually appear violaceous to bluish as the skin tones get darker.

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DermAtlas 11.13.2023-59567431
https://cms.sanovaworks.com/uploads/2023/12/aefffe92b6f431bea9482a6ca4e79da9-small.jpg
DermAtlas 11.13.2023-59567491
Acute Febrile Neutrophilic Dermatosis: Acute febrile neutrophilic dermatosis is classically characterized by edematous red tender papules and nodules on the skin in combination with fever and other systemic symptoms. Notice how the appearance of erythema can actually appear violaceous to bluish as the skin tones get darker.

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DermAtlas 11.13.2023-59567491
https://cms.sanovaworks.com/uploads/2023/12/31471c8ed2828e03294c2fd584959daf-small.jpg
DermAtlas 11.13.2023-59567508
Acute Febrile Neutrophilic Dermatosis: Acute febrile neutrophilic dermatosis is classically characterized by edematous red tender papules and nodules on the skin in combination with fever and other systemic symptoms. Notice how the appearance of erythema can actually appear violaceous to bluish as the skin tones get darker.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas 11.13.2023-59567508
https://cms.sanovaworks.com/uploads/2023/12/dc68dd20c893ac31e1b468a5562a1b92-small.jpg
DermAtlas 11.13.2023-59567536
Acute Febrile Neutrophilic Dermatosis: Acute febrile neutrophilic dermatosis is classically characterized by edematous red tender papules and nodules on the skin in combination with fever and other systemic symptoms. Notice how the appearance of erythema can actually appear violaceous to bluish as the skin tones get darker.

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DermAtlas 11.13.2023-59567536
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JDD M7008 Figure 1 cutaneous sarcoidosis 22_7
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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JDD M7008 Figure 1 cutaneous sarcoidosis 22_7
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Condition:
JDD M7008 Figure 2 cutaneous sarcoidosis 22_7_1
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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JDD M7008 Figure 2 cutaneous sarcoidosis 22_7_1
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Condition:
JDD M7008 Figure 2 cutaneous sarcoidosis 22_7 closeup
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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JDD M7008 Figure 2 cutaneous sarcoidosis 22_7 closeup
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Condition:
JDD M7008 Figure 3 cutaneous sarcoidosis_22_7
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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JDD M7008 Figure 3 cutaneous sarcoidosis_22_7
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Condition:
JDD M7008 Figure 4A cutaneous sarcoidosis 22_7
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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JDD M7008 Figure 4A cutaneous sarcoidosis 22_7
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Condition:
DermAtlas_Dissecting cellulitis_closeup_2GW2
Dissecting Cellulitis: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Dissecting cellulitis_closeup_2GW2
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Tags:
DermAtlas_Dissecting cellulitis_closeup_GW1
Dissecting Cellulitis: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Dissecting cellulitis_closeup_GW1
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DermAtlas_unmarked_B_031824.4
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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DermAtlas_unmarked_B_031824.4
https://cms.sanovaworks.com/uploads/2024/05/f3a048e8110f61c9eb8e8e0304ff7932-small.jpg
DermAtlas_unmarked_B_Leg_031824.1
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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DermAtlas_unmarked_B_Leg_031824.1
https://cms.sanovaworks.com/uploads/2024/05/3d981125fd7a53a259abad98767fe086-small.jpg
DermAtlas_unmarked_foot_B_031824
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_unmarked_foot_B_031824
https://cms.sanovaworks.com/uploads/2024/05/bc0ddea20cae5f903bda732a754461b9-small.jpg
DermAtlas_unmarked_foot_B_031824.2
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_unmarked_foot_B_031824.2
https://cms.sanovaworks.com/uploads/2024/05/46e4b5b3d41bc1243821352536d966a9-small.jpg
DermAtlas_unmarked_leg_B_031824.2
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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DermAtlas_unmarked_leg_B_031824.2
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DermAtlas_unmarked_legs_B_031824.3
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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DermAtlas_unmarked_legs_B_031824.3
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DermAtlas_Dissecting cellulitis_GW1
Dissecting Cellulitis: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Dissecting cellulitis_GW1
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DermAtlas_Vitiligo_-01.08.2024-62280842
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_-01.08.2024-62280842
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Condition:
DermAtlas_Vitiligo_-01.08.2024-62280915 copy
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_-01.08.2024-62280915 copy
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Condition:
DermAtlas_Vitiligo_-01.08.2024-62280915
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_-01.08.2024-62280915
https://cms.sanovaworks.com/uploads/2024/05/c3c695057f53a10f8ae64a2cc0d2acfc-small.jpg
Condition:
DermAtlas_Vitiligo_-01.08.2024-62280983
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_-01.08.2024-62280983
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Condition:
DermAtlas_Vitiligo_-01.08.2024-62281258
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_-01.08.2024-62281258
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Condition:
DermAtlas_Vitiligo_-01.08.2024-62281295
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_-01.08.2024-62281295
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Condition:
DermAtlas_Vitiligo_-01.08.2024-62281546
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_-01.08.2024-62281546
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Condition:
DermAtlas_Vitiligo_-01.08.2024-62281620
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_-01.08.2024-62281620
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Condition:
DermAtlas_Vitiligo_-01.08.2024-62281659
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_-01.08.2024-62281659
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Condition:
DermAtlas_Vitiligo_mouth-01.08.2024-62281295 copy
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_mouth-01.08.2024-62281295 copy
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Condition:
DermAtlas_Vitiligo_upper-01.08.2024-62281295 copy 2
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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DermAtlas_Vitiligo_upper-01.08.2024-62281295 copy 2
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Condition:
DermAtlas_Dissecting cellulitis_GW2
Dissecting Cellulitis: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Dissecting cellulitis_GW2
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DermAtlas_Dissecting cellulitis_GW3 2
Dissecting Cellulitis: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Dissecting cellulitis_GW3 2
friedman: approve
eleryan: ok let's stop using the same photos of 1 patient in different views for the same condition. 
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Tags:
DermAtlas_Granuloma annulare (minimal activity)_lower-extremity-anterior-09.15.2023-56487679 R1
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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DermAtlas_Granuloma annulare (minimal activity)_lower-extremity-anterior-09.15.2023-56487679 R1
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Condition:
DermAtlas_Morphea_Parry romberg_face-oblique-right-08.30.2023-55633160
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

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DermAtlas_Morphea_Parry romberg_face-oblique-right-08.30.2023-55633160
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Condition:
DermAtlas_Morphea. Parry romberg_face-oblique-right-08.30.2023-55633160
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

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DermAtlas_Morphea. Parry romberg_face-oblique-right-08.30.2023-55633160
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Condition:
Chrondrodermatitis _Noludaris_ Helicis type A.jpg
Chondrodermatitis: Log into your JDD account to access high resolution images and request permissions.
Chrondrodermatitis _Noludaris_ Helicis type A.jpg
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Condition:
Tags:
Chrondrodermatitis _Noludaris_ Helicis_C_Benesh.jpg
Chondrodermatitis: Log into your JDD account to access high resolution images and request permissions.
Chrondrodermatitis _Noludaris_ Helicis_C_Benesh.jpg
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Condition:
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Dissecting Cellulitis 1_D_closeup.jpg
Dissecting Cellulitis: Log into your JDD account to access high resolution images and request permissions.
Dissecting Cellulitis 1_D_closeup.jpg
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Dissecting Cellulitis 1_D_.jpg
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Dissecting Cellulitis 1_D_.jpg
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Dissecting Cellulitis 2 type e_Friedman.jpg
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Dissecting Cellulitis 2 type e_Friedman.jpg
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Eosinophilic Cellulitis _1_JDD.jpg
Eosinophilic Cellulitis: Log into your JDD account to access high resolution images and request permissions.
Eosinophilic Cellulitis _1_JDD.jpg
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Eosinophilic Cellulitis _2_B_arm2.jpg
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Eosinophilic Cellulitis _2_B_arm2.jpg
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DRESS_B_TrunkArm3.jpg
Drug Reaction with Eosinophilia and Systemic Symptoms: The drug reaction with eosinophilia and systemic symptoms (DRESS) rash includes ill-defined macules and/or papules coalescing into patches and/or plaques. Depending on the patient’s skin tone, the poorly defined exanthem can range from pink to violaceous or hyperpigmented in nature, as seen here, all of which are inflammatory even if the expected “red” is not appreciated. Increased skin warmth and pruritus can help highlight activity.

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DRESS_B_TrunkArm3.jpg
https://cms.sanovaworks.com/uploads/2022/09/a633f1801a07bf2f9e6903e1be45a1b9-small.jpg
DRESS_a_chest8.jpg
Drug Reaction with Eosinophilia and Systemic Symptoms: The drug reaction with eosinophilia and systemic symptoms (DRESS) rash includes ill-defined macules and/or papules coalescing into patches and/or plaques. Depending on the patient’s skin tone, the poorly defined exanthem can range from pink to violaceous or hyperpigmented in nature, as seen here, all of which are inflammatory even if the expected “red” is not appreciated. Increased skin warmth and pruritus can help highlight activity.

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DRESS_a_chest8.jpg
https://cms.sanovaworks.com/uploads/2022/09/37634518bad844a9371b978a2dda32f3-small.jpg
DRESS_a_stomach8.jpg
Drug Reaction with Eosinophilia and Systemic Symptoms: The drug reaction with eosinophilia and systemic symptoms (DRESS) rash includes ill-defined macules and/or papules coalescing into patches and/or plaques. Depending on the patient’s skin tone, the poorly defined exanthem can range from pink to violaceous or hyperpigmented in nature, as seen here, all of which are inflammatory even if the expected “red” is not appreciated. Increased skin warmth and pruritus can help highlight activity.

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DRESS_a_stomach8.jpg
https://cms.sanovaworks.com/uploads/2022/09/cbc3fe9f2567d591066fd4ee91481ca6-small.jpg
DRESS type c 1_Friedman.jpg
Drug Reaction with Eosinophilia and Systemic Symptoms: The drug reaction with eosinophilia and systemic symptoms (DRESS) rash includes ill-defined macules and/or papules coalescing into patches and/or plaques. Depending on the patient’s skin tone, the poorly defined exanthem can range from pink to violaceous or hyperpigmented in nature, as seen here, all of which are inflammatory even if the expected “red” is not appreciated. Increased skin warmth and pruritus can help highlight activity.

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DRESS type c 1_Friedman.jpg
https://cms.sanovaworks.com/uploads/2022/09/3367ed4a1427ead83e23b2063636be75-small.jpg
DRESS_JDD2.jpg
Drug Reaction with Eosinophilia and Systemic Symptoms: The drug reaction with eosinophilia and systemic symptoms (DRESS) rash includes ill-defined macules and/or papules coalescing into patches and/or plaques. Depending on the patient’s skin tone, the poorly defined exanthem can range from pink to violaceous or hyperpigmented in nature, as seen here, all of which are inflammatory even if the expected “red” is not appreciated. Increased skin warmth and pruritus can help highlight activity.

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DRESS_JDD2.jpg
https://cms.sanovaworks.com/uploads/2022/09/6c646c02e9f92ac0dedd0f07e1ecd7f3-small.jpg
Granuloma annulare_B_DIR61535.jpg
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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Granuloma annulare_B_DIR61535.jpg
https://cms.sanovaworks.com/uploads/2022/09/e38505ec1972400384ea5adcab410413-small.jpg
Condition:
Granuloma_Annulare_B_Thigh.jpg
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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Granuloma_Annulare_B_Thigh.jpg
https://cms.sanovaworks.com/uploads/2022/09/3073bfc7cae293da604b8b67db4726e6-small.jpg
Condition:
granuloma annulare type c leg.jpg
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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granuloma annulare type c leg.jpg
https://cms.sanovaworks.com/uploads/2022/09/7835c1f2fe655f5d3761af89f953ec86-small.jpg
Condition:
GranulomaAnnulare_D_Trunk1.jpg
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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GranulomaAnnulare_D_Trunk1.jpg
https://cms.sanovaworks.com/uploads/2022/09/377adc79dd35a9761c156e105de93770-small.jpg
Condition:
Granuloma annulare_D_61274.jpg
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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Granuloma annulare_D_61274.jpg
https://cms.sanovaworks.com/uploads/2022/09/e59f0f16777da87b2def4bba182d2e67-small.jpg
Condition:
Granuloma annulare_A_60195.jpg
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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Granuloma annulare_A_60195.jpg
https://cms.sanovaworks.com/uploads/2022/09/efd381f06c31083d693849915a2ba018-small.jpg
Condition:
Granuloma Annulare, Generalized_DIR56328.jpg
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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Granuloma Annulare, Generalized_DIR56328.jpg
https://cms.sanovaworks.com/uploads/2022/09/41c4ef8e3291090238c9072ce78728da-small.jpg
Condition:
GranulomaAnnulare_D_Trunk2.jpg
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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GranulomaAnnulare_D_Trunk2.jpg
https://cms.sanovaworks.com/uploads/2022/09/da61f2d3e596070ae9cbdb15d72cfb84-small.jpg
Condition:
granuloma annulare type D_1.jpg
Granuloma Annulare: When diagnosing granuloma annulare, look for the well demarcated arcuate to annular non-scaling papules and plaques typically without epidermal change. The lesions can appear as skin-colored to pink/brown to even hyperpigmented, as seen here (not to be confused for post-inflammatory pigment alteration).

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granuloma annulare type D_1.jpg
https://cms.sanovaworks.com/uploads/2022/09/14dcfa7cbcce02e763fc8e480043c5bd-small.jpg
Condition:
Sarcoidosis_B_Forehead3_Closeup.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoidosis_B_Forehead3_Closeup.jpg
https://cms.sanovaworks.com/uploads/2022/09/caf306f3e298dcdc4f32a787b55663fa-small.jpg
Condition:
Sarcoidosis_D_1_Shoulder.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoidosis_D_1_Shoulder.jpg
https://cms.sanovaworks.com/uploads/2022/09/7a1ddf22e3f60d297366ccc749461141-small.jpg
Condition:
Sarcoid_E_Elbow_2.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoid_E_Elbow_2.jpg
https://cms.sanovaworks.com/uploads/2022/09/0776edf5a9ae0f23ac69b1865a8b5ada-small.jpg
Condition:
Sarcoid_D_forearm.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoid_D_forearm.jpg
https://cms.sanovaworks.com/uploads/2022/09/9a19623836c13db597a643cef28049dc-small.jpg
Condition:
sarcoidosis type e chest_Friedman.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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sarcoidosis type e chest_Friedman.jpg
https://cms.sanovaworks.com/uploads/2022/09/e480c24af7391f8ca43cf7ed6e56ed32-small.jpg
Condition:
Sarcoidosis in a Tatoo_E_DIR56345.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoidosis in a Tatoo_E_DIR56345.jpg
https://cms.sanovaworks.com/uploads/2022/09/832300b54c876d86a3822652f34a2799-small.jpg
Condition:
Annular_Sarcoidosis_Friedman.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Annular_Sarcoidosis_Friedman.jpg
https://cms.sanovaworks.com/uploads/2022/09/25edf133ed2521338708333f11762013-small.jpg
Condition:
Sarcoidosis_DIR58028.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoidosis_DIR58028.jpg
https://cms.sanovaworks.com/uploads/2022/09/f00610604f5cba4381cd0868aec959e2-small.jpg
Condition:
Sarcoidosis_D_2_Shoulder.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoidosis_D_2_Shoulder.jpg
https://cms.sanovaworks.com/uploads/2022/09/e323ad90c394f0f24aef64ce1b628cba-small.jpg
Condition:
Sarcoid_E_Elbow_1.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoid_E_Elbow_1.jpg
https://cms.sanovaworks.com/uploads/2022/09/88db1dfeab1b430eb6cbbd7c449d884b-small.jpg
Condition:
hypopigmented sarcoid type e.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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hypopigmented sarcoid type e.jpg
https://cms.sanovaworks.com/uploads/2022/09/bd2cfe6c34fe9d96a91ec54816397023-small.jpg
Condition:
sarcoidosis_c_Profile1.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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sarcoidosis_c_Profile1.jpg
https://cms.sanovaworks.com/uploads/2022/09/08ed89ce5eae773bd4eed142b50ed591-small.jpg
Condition:
sarcoidosis_c_Profile2.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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sarcoidosis_c_Profile2.jpg
https://cms.sanovaworks.com/uploads/2022/09/ad7b9e2145dd76ecf649d8232b7c785e-small.jpg
Condition:
Sarcoid_D_Face1.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoid_D_Face1.jpg
https://cms.sanovaworks.com/uploads/2022/09/dd4fc2990387f88c5d68292d18e2b545-small.jpg
Condition:
Sarcoid_D_Face2.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

Log into your JDD account to access high resolution images and request permissions.
Sarcoid_D_Face2.jpg
https://cms.sanovaworks.com/uploads/2022/09/a130940b7c493105fa934392e07d3998-small.jpg
Condition:
Sarcoidosis_E_60222-2.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

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Sarcoidosis_E_60222-2.jpg
https://cms.sanovaworks.com/uploads/2022/09/95b3e9be655be0b8b7b915dc29e7b2d6-small.jpg
Condition:
sarcoidosis type E face_Friedman.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

Log into your JDD account to access high resolution images and request permissions.
sarcoidosis type E face_Friedman.jpg
https://cms.sanovaworks.com/uploads/2022/09/d5115739e1b844551de5ee6b5f232aaf-small.jpg
Condition:
Sarcoidosis_B_Forehead3.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

Log into your JDD account to access high resolution images and request permissions.
Sarcoidosis_B_Forehead3.jpg
https://cms.sanovaworks.com/uploads/2022/09/604abfcd6003793c8e897fc52f04a834-small.jpg
Condition:
Sarcoidosis_BlepharoplastyScar_JDD10-14_ResidentRounds_2.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

Log into your JDD account to access high resolution images and request permissions.
Sarcoidosis_BlepharoplastyScar_JDD10-14_ResidentRounds_2.jpg
https://cms.sanovaworks.com/uploads/2022/09/2d317b9f2269b104fdecf03e5a68bdfc-small.jpg
Condition:
sarcoidosis type B scalp.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

Log into your JDD account to access high resolution images and request permissions.
sarcoidosis type B scalp.jpg
https://cms.sanovaworks.com/uploads/2022/09/54ddddfd474036284b56f964bae06a5d-small.jpg
Condition:
sarcoid type E scalp_Friedman.jpg
Sarcoidosis: Sarcoidosis is a great mimicker. It boasts a wide array of clinical presentations, including a papular variant, as seen here. Note the last image—this hallmark of presentation can be the development of papules within a tattoo with background erythema.

Due to various presentations across skin types, sarcoidosis may be difficult to distinguish from deep fungal infections, cutaneous tuberculosis, leprosy, or CTCL. Diascopy may be utilized to discern an “apple jelly” color which differentiates sarcoidosis from the various diseases it may mimic.

Annular sarcoidosis can be appreciated in light to medium skin tones due to the advancing serpiginous erythematous border, as seen here. Notice the last image—the presence of sarcoid is distinguished by mildly erythematous to hypopigmented papules coalescing into ill- defined plaques.

Sarcoidosis in a darker skin tone is differentiated by mildly erythematous hypopigmented papules in contrast to erythematous hyperpigmented papules seen in lighter skin tones.

Log into your JDD account to access high resolution images and request permissions.
sarcoid type E scalp_Friedman.jpg
https://cms.sanovaworks.com/uploads/2022/09/7fe5e792f4513f7db6c0a0e1d70ad918-small.jpg
Condition:
dermatomyositits hand type a_22.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
dermatomyositits hand type a_22.jpg
https://cms.sanovaworks.com/uploads/2022/09/649a9268e40d0a27c71749975cfcaeca-small.jpg
Condition:
Dermatomyositis_B_1.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_B_1.jpg
https://cms.sanovaworks.com/uploads/2022/09/1c131558e5c4cdf644ce379f3466623c-small.jpg
Condition:
Dermatomyositis_B_Carrington13.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_B_Carrington13.jpg
https://cms.sanovaworks.com/uploads/2022/09/cfef6d446e6486778871242ba02cada9-small.jpg
Condition:
Dermatomyositis_A_DIR60984_.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_A_DIR60984_.jpg
https://cms.sanovaworks.com/uploads/2022/09/a730fa7bbd3bae6902f82f4ec7570487-small.jpg
Condition:
dermatomyositis type a fingernail_11.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
dermatomyositis type a fingernail_11.jpg
https://cms.sanovaworks.com/uploads/2022/09/3a489561596306f4dd61d046145477a6-small.jpg
Condition:
Dermatomyositis_Benesh_Ulcers.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_Benesh_Ulcers.jpg
https://cms.sanovaworks.com/uploads/2022/09/5e74d205a99628e56d288d8ba2a6615c-small.jpg
Condition:
Dermatomyositis_D_Cohen_Finger.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_D_Cohen_Finger.jpg
https://cms.sanovaworks.com/uploads/2022/09/9870b08584875d07e8f00d9c65216c95-small.jpg
Condition:
dermatomyositis type A face_Friedman.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
dermatomyositis type A face_Friedman.jpg
https://cms.sanovaworks.com/uploads/2022/09/88cd8fae80735d5463c8f4905707033c-small.jpg
Condition:
Dermatomyositis_A_Face_Cohen.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_A_Face_Cohen.jpg
https://cms.sanovaworks.com/uploads/2022/09/6017ff7015ce892c759c4b768f50e7f8-small.jpg
Condition:
Dermatomytosis_ProfileB_2.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomytosis_ProfileB_2.jpg
https://cms.sanovaworks.com/uploads/2022/09/87dad2091085130c428b8283802a319e-small.jpg
Condition:
Dermatomyositis_C_Carrington_1.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_C_Carrington_1.jpg
https://cms.sanovaworks.com/uploads/2022/09/a68c1a560760a1eab7eded1aae1b9993-small.jpg
Condition:
Dermatomyositis_D_Adusumilli6.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_D_Adusumilli6.jpg
https://cms.sanovaworks.com/uploads/2022/09/261d47ff7c3b959ccd7b7bcd69561f06-small.jpg
Condition:
Dermatomyositis_DIR56312.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_DIR56312.jpg
https://cms.sanovaworks.com/uploads/2022/09/19f64c353cd6bc731ba13ed64d14e98e-small.jpg
Condition:
Dermatomyositis_D_Adusumilli24.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_D_Adusumilli24.jpg
https://cms.sanovaworks.com/uploads/2022/09/286d9ec02e6071426527e6856f61cfea-small.jpg
Condition:
Dermatomyositis_A_Chest_Cohen.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_A_Chest_Cohen.jpg
https://cms.sanovaworks.com/uploads/2022/09/e89b0c1c0c0e0e72f9d6a81d1130e133-small.jpg
Condition:
Dermatomyositis_B_Carrington7.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_B_Carrington7.jpg
https://cms.sanovaworks.com/uploads/2022/09/123ca1fd031055473f654d6a4031b062-small.jpg
Condition:
Dermatomyositis_D_Adusumilli_Chest.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_D_Adusumilli_Chest.jpg
https://cms.sanovaworks.com/uploads/2022/09/fc1c599efa5e880fd3f637b2ed9ef678-small.jpg
Condition:
Dermatomyositis_D_ 56309.jpg
Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.
Dermatomyositis_D_ 56309.jpg
https://cms.sanovaworks.com/uploads/2022/09/ad44fe997abf7cd9cd44e9e15092655c-small.jpg
Condition:
morphea type B leg.jpg
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

Log into your JDD account to access high resolution images and request permissions.
morphea type B leg.jpg
https://cms.sanovaworks.com/uploads/2022/09/2e4b98b89d24d6b148bdcb03787be8dd-small.jpg
Condition:
morphea_b_carrington_back2.jpg
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

Log into your JDD account to access high resolution images and request permissions.
morphea_b_carrington_back2.jpg
https://cms.sanovaworks.com/uploads/2022/09/542cf9222f28df4a9eefa1cb95efdd47-small.jpg
Condition:
morphea type D abdomen.jpg
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

Log into your JDD account to access high resolution images and request permissions.
morphea type D abdomen.jpg
https://cms.sanovaworks.com/uploads/2022/09/a83c29c6b74e52f6a6c7a5d9b01c66db-small.jpg
Condition:
Morphea type D .jpg
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

Log into your JDD account to access high resolution images and request permissions.
Morphea type D .jpg
https://cms.sanovaworks.com/uploads/2022/09/0b60e11ed5fe78d4aca384e12f3aedff-small.jpg
Condition:
Morphea_A_Adusumilli_Leg1.jpg
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

Log into your JDD account to access high resolution images and request permissions.
Morphea_A_Adusumilli_Leg1.jpg
https://cms.sanovaworks.com/uploads/2022/09/ee6b9bb93a151e612efff8e633749fc2-small.jpg
Condition:
morphea_b_carrington_fullback2.jpg
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

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morphea_b_carrington_fullback2.jpg
https://cms.sanovaworks.com/uploads/2022/09/e0641459a4af63382c02027fee444353-small.jpg
Condition:
Morphea_DIR_58358_.jpg
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

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Morphea_DIR_58358_.jpg
https://cms.sanovaworks.com/uploads/2022/09/20dba76be0954869acba07b477fd8722-small.jpg
Condition:
morphea type B arm23_.jpg
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

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morphea type B arm23_.jpg
https://cms.sanovaworks.com/uploads/2022/09/4fcf2f0af55f24ff920e7f5873aa7f4e-small.jpg
Condition:
morphea_c_carrington_hand2.jpg
Morphea: This collection of images displays the various stages of plaque-type morphea across different skin tones, with progression from the erythematous/edematous phase to hyperpigmented scarred plaques. Notice that in darker skin tones the latter stage is hallmarked by ill-defined central hypopigmentation with peripheral hyperpigmentation. Persistent activity can be discerned by presence of a violaceous peripheral rim to lesions, which is absent in these last two images.

In this collection of photos, active morphea is appreciated in all skin tones. Notice the bottom left image—it is notable for the slate gray hyperpigmentation centrally with peripheral rim of erythema in a lighter skinned patient. Now notice the bottom right image—it displays subtle atrophy, hallmarked by presence of telangiectasia and mild erythema throughout the lesion extending to 5th digit in a darker toned patient.

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morphea_c_carrington_hand2.jpg
https://cms.sanovaworks.com/uploads/2022/09/0374b4f79a75824b93435af299f320e1-small.jpg
Condition:
Extragenital_LichenSclerosisAtrophicus type A breast.jpg
Extragenital Lichen Sclerosus: Extragenital lichen sclerosus is classically characterized by flat-topped white polygonal papules coalescing into potentially sclerotic plaques. Early in the disease a pink, red, or violaceous border, depending on the color depth of the skin tone, can be noted. Inactive lichen sclerosus shows white wrinkled papules and plaques with a rim of post-inflammatory hyperpigmentation that can range from dark red to brown. Often depigmentation can be observed in darker skin tones.

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Extragenital_LichenSclerosisAtrophicus type A breast.jpg
https://cms.sanovaworks.com/uploads/2022/09/a1c58e8ad1b939f4f0b376717d636ee2-small.jpg
56340 _A_Lichen sclerosus.jpg
Extragenital Lichen Sclerosus: Extragenital lichen sclerosus is classically characterized by flat-topped white polygonal papules coalescing into potentially sclerotic plaques. Early in the disease a pink, red, or violaceous border, depending on the color depth of the skin tone, can be noted. Inactive lichen sclerosus shows white wrinkled papules and plaques with a rim of post-inflammatory hyperpigmentation that can range from dark red to brown. Often depigmentation can be observed in darker skin tones.

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56340 _A_Lichen sclerosus.jpg
https://cms.sanovaworks.com/uploads/2022/09/b82b23889b39bf391d2a13dc99812680-small.jpg
LichenSclerosisAtrophicus_C_Benesh_3.jpg
Extragenital Lichen Sclerosus: Extragenital lichen sclerosus is classically characterized by flat-topped white polygonal papules coalescing into potentially sclerotic plaques. Early in the disease a pink, red, or violaceous border, depending on the color depth of the skin tone, can be noted. Inactive lichen sclerosus shows white wrinkled papules and plaques with a rim of post-inflammatory hyperpigmentation that can range from dark red to brown. Often depigmentation can be observed in darker skin tones.

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LichenSclerosisAtrophicus_C_Benesh_3.jpg
https://cms.sanovaworks.com/uploads/2022/09/3b055a0611c548532754d584b209de79-small.jpg
LichenSclerosis_B_Cohen_2.jpg
Lichen Sclerosus: Lichen sclerosus is generally referred to as small ivory-colored slightly raised areas which can then form white patches. However, as we see here there are varying shades of lichen sclerosus. Take notice of the skin’s texture—over time the patches can start to take on the appearance of wrinkled tissue paper.

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LichenSclerosis_B_Cohen_2.jpg
https://cms.sanovaworks.com/uploads/2022/09/0709c0603ae65fd2573987e4eec0fb8d-small.jpg
Condition:
Lichen sclerosis_C_DIR60201.jpg
Lichen Sclerosus: Lichen sclerosus is generally referred to as small ivory-colored slightly raised areas which can then form white patches. However, as we see here there are varying shades of lichen sclerosus. Take notice of the skin’s texture—over time the patches can start to take on the appearance of wrinkled tissue paper.

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Lichen sclerosis_C_DIR60201.jpg
https://cms.sanovaworks.com/uploads/2022/09/204070d022c47aa5d2473ec4859cd85e-small.jpg
Condition:
LichenSclerosis_B_Cohen1.jpg
Lichen Sclerosus: Lichen sclerosus is generally referred to as small ivory-colored slightly raised areas which can then form white patches. However, as we see here there are varying shades of lichen sclerosus. Take notice of the skin’s texture—over time the patches can start to take on the appearance of wrinkled tissue paper.

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LichenSclerosis_B_Cohen1.jpg
https://cms.sanovaworks.com/uploads/2022/09/0e7418a57f6faa703de0583e3c74bdc7-small.jpg
Condition:
Lichen sclerosus_A_56340.jpg
Lichen Sclerosus: Lichen sclerosus is generally referred to as small ivory-colored slightly raised areas which can then form white patches. However, as we see here there are varying shades of lichen sclerosus. Take notice of the skin’s texture—over time the patches can start to take on the appearance of wrinkled tissue paper.

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Lichen sclerosus_A_56340.jpg
https://cms.sanovaworks.com/uploads/2022/09/635dd1011c5831bcb17ff8e19f4f7f7a-small.jpg
Condition:
LichenSclerosisAtrophicus_C_Genital.jpg
Lichen Sclerosus: Lichen sclerosus is generally referred to as small ivory-colored slightly raised areas which can then form white patches. However, as we see here there are varying shades of lichen sclerosus. Take notice of the skin’s texture—over time the patches can start to take on the appearance of wrinkled tissue paper.

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LichenSclerosisAtrophicus_C_Genital.jpg
https://cms.sanovaworks.com/uploads/2022/09/4eec8bd3d7d869db3b0ff89990104335-small.jpg
Condition:
vitiligo_c_carrington4 .jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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vitiligo_c_carrington4 .jpg
https://cms.sanovaworks.com/uploads/2022/09/ae16aea55a57c9f5b31d502a9353681d-small.jpg
Condition:
vitiligo_D_Adusumilli_eye.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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vitiligo_D_Adusumilli_eye.jpg
https://cms.sanovaworks.com/uploads/2022/09/1f6c88e887d2a0b0c75eeeba37749117-small.jpg
Condition:
Vitiligo_A_Adusumilli.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_A_Adusumilli.jpg
https://cms.sanovaworks.com/uploads/2022/09/54a79af1cb3457a402bc33b075a1d33a-small.jpg
Condition:
vitiligo_e_hands_closeup2.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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vitiligo_e_hands_closeup2.jpg
https://cms.sanovaworks.com/uploads/2022/09/e6d55fc0794a7144450fc3ee7d8868a9-small.jpg
Condition:
vitiligo_e_hands_2.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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vitiligo_e_hands_2.jpg
https://cms.sanovaworks.com/uploads/2022/09/750582330e25a3fc523962a7b727caa1-small.jpg
Condition:
Vitiligo_B_Ezekwe_10.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_B_Ezekwe_10.jpg
https://cms.sanovaworks.com/uploads/2022/09/7b08c6ff3fafc018a87a651af62df861-small.jpg
Condition:
vitiligo_e_carrington_closeup.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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vitiligo_e_carrington_closeup.jpg
https://cms.sanovaworks.com/uploads/2022/09/354931aeaf1bfaf31c71efbf316d13cc-small.jpg
Condition:
Vitiligo_A_Adusumilli_Elbow.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_A_Adusumilli_Elbow.jpg
https://cms.sanovaworks.com/uploads/2022/09/133808eec62bb000b8e0ac7bafe27213-small.jpg
Condition:
Vitiligo_D_Elbow_DIR 61398.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_D_Elbow_DIR 61398.jpg
https://cms.sanovaworks.com/uploads/2022/09/6a31767777853acc024ad895f34bd8b1-small.jpg
Condition:
Vitiligo_B2_Foot_2.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_B2_Foot_2.jpg
https://cms.sanovaworks.com/uploads/2022/09/f44cd5880075dcd4c42a4bc94f537144-small.jpg
Condition:
Vitiligo_B_Foot_13.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_B_Foot_13.jpg
https://cms.sanovaworks.com/uploads/2022/09/62a03f2d47cf6b0f5282e40a4a88868e-small.jpg
Condition:
Vitiligo_A_Adusumilli_Foot1.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_A_Adusumilli_Foot1.jpg
https://cms.sanovaworks.com/uploads/2022/09/1118d3d90468d91391b96ae7fbd73e2f-small.jpg
Condition:
Vitilago-folicular repigmentation_DIR60226_.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitilago-folicular repigmentation_DIR60226_.jpg
https://cms.sanovaworks.com/uploads/2022/09/0daa68aaa9df80a14fc71ea9e0ed783a-small.jpg
Condition:
Vitiligo_B_Back_5.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_B_Back_5.jpg
https://cms.sanovaworks.com/uploads/2022/09/e90c8ee17aa2d071c38014a6c95f658c-small.jpg
Condition:
Vitiligo_B_Chest_11.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_B_Chest_11.jpg
https://cms.sanovaworks.com/uploads/2022/09/ff235f03df9499967ee58ae48875e594-small.jpg
Condition:
Vitiligo_C_Neck_1.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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Vitiligo_C_Neck_1.jpg
https://cms.sanovaworks.com/uploads/2022/09/54f15d3ba0ddcdb47d239ca631f05f96-small.jpg
Condition:
vitiligo_D_Chin_2.jpg
Vitiligo: Notice how the well-defined patches with irregular borders of depigmented skin appear pinkish early in the condition but become chalk white as the condition progresses. Perifollicular repigmentation, which should not be confused for the salt and pepper appearance of scleroderma, can be a marker of treatment success.

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vitiligo_D_Chin_2.jpg
https://cms.sanovaworks.com/uploads/2022/09/dbf71729394da53ebfe43a9ab958d92b-small.jpg
Condition:
Acute Generalized Exanthematous pustulosis_ DIR56290.jpg
Acute Generalized Exanthematous Pustulosis: Note here the erythematous plaques studded with monomorphic, coalescing pustules. In lighter skin tones the plaques appear red and the color starts to deepen and become more violaceous in appearance as the skin tones darken.

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Acute Generalized Exanthematous pustulosis_ DIR56290.jpg
https://cms.sanovaworks.com/uploads/2022/09/ab6c497df94aac432924348b890153e6-small.jpg
Acute Generalized Exanthematous pustulosis B_Frieda n.jpg
Acute Generalized Exanthematous Pustulosis: Note here the erythematous plaques studded with monomorphic, coalescing pustules. In lighter skin tones the plaques appear red and the color starts to deepen and become more violaceous in appearance as the skin tones darken.

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Acute Generalized Exanthematous pustulosis B_Frieda n.jpg
https://cms.sanovaworks.com/uploads/2022/09/7ef829fde148e68f556817505c16220c-small.jpg
Acute Generalized Exanthematous pustulosis d.jpg
Acute Generalized Exanthematous Pustulosis: Note here the erythematous plaques studded with monomorphic, coalescing pustules. In lighter skin tones the plaques appear red and the color starts to deepen and become more violaceous in appearance as the skin tones darken.

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Acute Generalized Exanthematous pustulosis d.jpg
https://cms.sanovaworks.com/uploads/2022/09/fa6d03ebc8e59e9043dea8d630ea9d37-small.jpg
Acute Generalized Exanthematous pustulosis_ DIR60863.jpg
Acute Generalized Exanthematous Pustulosis: Note here the erythematous plaques studded with monomorphic, coalescing pustules. In lighter skin tones the plaques appear red and the color starts to deepen and become more violaceous in appearance as the skin tones darken.

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Acute Generalized Exanthematous pustulosis_ DIR60863.jpg
https://cms.sanovaworks.com/uploads/2022/09/f69dafdb9049b83c917da0ea9e277afe-small.jpg
Pyoderma_gangrenosum_a_carrington_.jpg
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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Pyoderma_gangrenosum_a_carrington_.jpg
https://cms.sanovaworks.com/uploads/2022/09/060a176b6fe4f4bfd1d2dab47a0215fd-small.jpg
pyoderma gangrenosum_B_PG_4.jpg
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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pyoderma gangrenosum_B_PG_4.jpg
https://cms.sanovaworks.com/uploads/2022/09/a2f0e0f80ad304a5dd0de5f1ffee7b32-small.jpg
pyoderma gangrenosum type C_.jpg
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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pyoderma gangrenosum type C_.jpg
https://cms.sanovaworks.com/uploads/2022/09/3e02c69287a9024e6d157d5cf6d2d159-small.jpg
Pyoderma gangrenosum_c_Ortega.jpg
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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Pyoderma gangrenosum_c_Ortega.jpg
https://cms.sanovaworks.com/uploads/2022/09/e3b3e11eb86d672c5fcfe14494597f07-small.jpg
Pyoderma_gangrenosum_E_Leg_.jpg
Pyoderma Gangrenosum: The violaceous rim in pyoderma gangrenosum is sometimes confused as purpura, which suggests a possible vasculitic process in patients with dark skin tones. This contributes to the classic misdiagnosis of the disease. Note that once the ulcerations are healed, patients might develop hyper- or hypopigmented scarring.

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Pyoderma_gangrenosum_E_Leg_.jpg
https://cms.sanovaworks.com/uploads/2022/09/460fa79e344e85400a0e3c6097f70b99-small.jpg
Acute Febrile Neutrophilic Dermatosis_ DIR56195.jpg
Acute Febrile Neutrophilic Dermatosis: Acute febrile neutrophilic dermatosis is classically characterized by edematous red tender papules and nodules on the skin in combination with fever and other systemic symptoms. Notice how the appearance of erythema can actually appear violaceous to bluish as the skin tones get darker.

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Acute Febrile Neutrophilic Dermatosis_ DIR56195.jpg
https://cms.sanovaworks.com/uploads/2022/09/23e64136cb7f956377f410b47d976c71-small.jpg
Acute Febrile Neutrophilic Dermatosis_ DIR60142.jpg
Acute Febrile Neutrophilic Dermatosis: Acute febrile neutrophilic dermatosis is classically characterized by edematous red tender papules and nodules on the skin in combination with fever and other systemic symptoms. Notice how the appearance of erythema can actually appear violaceous to bluish as the skin tones get darker.

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Acute Febrile Neutrophilic Dermatosis_ DIR60142.jpg
https://cms.sanovaworks.com/uploads/2022/09/eddaab09d57514a72630cba45f67234c-small.jpg
Acute Febrile Neutrophilic Dermatosis_DIR 61473.jpg
Acute Febrile Neutrophilic Dermatosis: Acute febrile neutrophilic dermatosis is classically characterized by edematous red tender papules and nodules on the skin in combination with fever and other systemic symptoms. Notice how the appearance of erythema can actually appear violaceous to bluish as the skin tones get darker.

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Acute Febrile Neutrophilic Dermatosis_DIR 61473.jpg
https://cms.sanovaworks.com/uploads/2022/09/d3e0f70782d8b52c9a93c208dd62eae2-small.jpg
Subcorneal pustulosis type d.jpg
Subcorneal Pustulosis: Log into your JDD account to access high resolution images and request permissions.
Subcorneal pustulosis type d.jpg
https://cms.sanovaworks.com/uploads/2022/09/cf35170ff2a7e98a8ed831d92ec0f3bd-small.jpg
Calciphylaxis_DIR61352.jpg
Calciphylaxis: Calciphylaxis, often associated with end-stage renal disease, manifests as intractable and painful ulcerating, eschartic dermal plaques, and afflicts patients with a high burden of co-morbidity. Involved areas are often subject and susceptible to severe infection. Note the appearance of violaceous retiform patches on all skin tones, with a predilection for more brown/black coloring on darker skin tones.

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Calciphylaxis_DIR61352.jpg
https://cms.sanovaworks.com/uploads/2022/09/57bee7bee0e12777f6ba71825be7da47-small.jpg
Condition:
Calciphylaxis_DIR 60861.jpg
Calciphylaxis: Calciphylaxis, often associated with end-stage renal disease, manifests as intractable and painful ulcerating, eschartic dermal plaques, and afflicts patients with a high burden of co-morbidity. Involved areas are often subject and susceptible to severe infection. Note the appearance of violaceous retiform patches on all skin tones, with a predilection for more brown/black coloring on darker skin tones.

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Calciphylaxis_DIR 60861.jpg
https://cms.sanovaworks.com/uploads/2022/09/8513c94332aa1a41227673073e772091-small.jpg
Condition:
Calciphylaxis_3_JDD.jpg
Calciphylaxis: Calciphylaxis, often associated with end-stage renal disease, manifests as intractable and painful ulcerating, eschartic dermal plaques, and afflicts patients with a high burden of co-morbidity. Involved areas are often subject and susceptible to severe infection. Note the appearance of violaceous retiform patches on all skin tones, with a predilection for more brown/black coloring on darker skin tones.

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Calciphylaxis_3_JDD.jpg
https://cms.sanovaworks.com/uploads/2022/09/2e793f6e37daaf408bb22d217d0a065c-small.jpg
Condition:
Calciphylaxis_12_E.jpg
Calciphylaxis: Calciphylaxis, often associated with end-stage renal disease, manifests as intractable and painful ulcerating, eschartic dermal plaques, and afflicts patients with a high burden of co-morbidity. Involved areas are often subject and susceptible to severe infection. Note the appearance of violaceous retiform patches on all skin tones, with a predilection for more brown/black coloring on darker skin tones.

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Calciphylaxis_12_E.jpg
https://cms.sanovaworks.com/uploads/2022/09/4217e3ce815605e6015782ec4a1adcaa-small.jpg
Condition:
SLE_DIRDIR58318_JDD.jpg
Acute Cutaneous Lupus Erythematosus: As you can see from this collection of images, the malar rash, or butterfly-shaped rash, on the face can range in color from red to a deep violaceous color. Notice how the malar rash is presented with a hyperpigmented rim in darker skin tones.

Note that darker skin tones have an increased risk of post-inflammatory hyperpigmentation and hypertrophic scarring.

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SLE_DIRDIR58318_JDD.jpg
https://cms.sanovaworks.com/uploads/2022/09/091ae55660b1ac5e550f7702fa545f7b-small.jpg
Systemic_Lupus_Erythematosus_JDD.jpg
Acute Cutaneous Lupus Erythematosus: As you can see from this collection of images, the malar rash, or butterfly-shaped rash, on the face can range in color from red to a deep violaceous color. Notice how the malar rash is presented with a hyperpigmented rim in darker skin tones.

Note that darker skin tones have an increased risk of post-inflammatory hyperpigmentation and hypertrophic scarring.

Log into your JDD account to access high resolution images and request permissions.
Systemic_Lupus_Erythematosus_JDD.jpg
https://cms.sanovaworks.com/uploads/2022/09/632faaea340621dd3108e0b2947fc012-small.jpg
Acute Cutaneous Lupus 1 Type c_Friedman_Closeup.jpg
Acute Cutaneous Lupus Erythematosus: As you can see from this collection of images, the malar rash, or butterfly-shaped rash, on the face can range in color from red to a deep violaceous color. Notice how the malar rash is presented with a hyperpigmented rim in darker skin tones.

Note that darker skin tones have an increased risk of post-inflammatory hyperpigmentation and hypertrophic scarring.

Log into your JDD account to access high resolution images and request permissions.
Acute Cutaneous Lupus 1 Type c_Friedman_Closeup.jpg
https://cms.sanovaworks.com/uploads/2022/09/947d49c56f86e9edec45547b3fc0227f-small.jpg
Malar_Rash_D_JDD.jpg
Acute Cutaneous Lupus Erythematosus: As you can see from this collection of images, the malar rash, or butterfly-shaped rash, on the face can range in color from red to a deep violaceous color. Notice how the malar rash is presented with a hyperpigmented rim in darker skin tones.

Note that darker skin tones have an increased risk of post-inflammatory hyperpigmentation and hypertrophic scarring.

Log into your JDD account to access high resolution images and request permissions.
Malar_Rash_D_JDD.jpg
https://cms.sanovaworks.com/uploads/2022/09/f3d2be7de977db4513717d9126258395-small.jpg
Malar_Rash_E_JDD1.jpg
Acute Cutaneous Lupus Erythematosus: As you can see from this collection of images, the malar rash, or butterfly-shaped rash, on the face can range in color from red to a deep violaceous color. Notice how the malar rash is presented with a hyperpigmented rim in darker skin tones.

Note that darker skin tones have an increased risk of post-inflammatory hyperpigmentation and hypertrophic scarring.

Log into your JDD account to access high resolution images and request permissions.
Malar_Rash_E_JDD1.jpg
https://cms.sanovaworks.com/uploads/2022/09/9d7cc3cfe7005ee8e2976e47b80ce81f-small.jpg
Acute_Lupus_D_Acheek5.jpg
Acute Cutaneous Lupus Erythematosus: As you can see from this collection of images, the malar rash, or butterfly-shaped rash, on the face can range in color from red to a deep violaceous color. Notice how the malar rash is presented with a hyperpigmented rim in darker skin tones.

Note that darker skin tones have an increased risk of post-inflammatory hyperpigmentation and hypertrophic scarring.

Log into your JDD account to access high resolution images and request permissions.
Acute_Lupus_D_Acheek5.jpg
https://cms.sanovaworks.com/uploads/2022/09/a07b19b5160cc373fba6e2f8e728948f-small.jpg
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