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Dtsch Med Wochenschr 2018; 143(23): 1682-1689
DOI: 10.1055/a-0655-7103
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© Georg Thieme Verlag KG Stuttgart · New York

Differenzialdiagnostische Fallstricke aus der Dermatochirurgie

Pitfalls of Differential Diagnosis in Dermatologic Surgery
Katrin John
,
Endres John
,
Franziska Friedling
,
Danica Lange
,
Frank Meyer
,
Volker Stadie
Further Information

Publication History

Publication Date:
15 November 2018 (online)

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Abstract

Evaluation of skin diseases can be challenging for non-dermatologists. Even obvious well-characterized skin pathologies might be misleading and thus treatment can fail. Particularly the differentiation of surgical treated entities is important, for example the management of a wound healing disturbance profoundly differs from that of a pyoderma gangrenosum. This article outlines several easily mistaken pairs of dermatologic entities on one hand and surgical on the other. For example, a livedo vasculopathy can be confused with a leg ulcer, a nail melanoma with a simple hematoma and finally a hidradenitis suppurativa with an axillary abscess. Typical clinical signs and anamnestic data may often lead to the right diagnosis also assisted by the simple fact to “keep it in mind“.

Für Nicht-Dermatologen ist es oftmals gar nicht so leicht, Hauterkrankungen differenzialdiagnostisch richtig einzuschätzen. Insbesondere Entitäten, die vermeintlich bekannte Charakteristika aufweisen, werden nicht selten verkannt und dann unter Umständen falsch behandelt. So unterscheidet sich z. B. die Therapie einer vermeintlichen Wundheilungsstörung fundamental von der eines postoperativen Pyoderma gangraenosum.

Schlüsselworter

Livedovaskulopathie - Nagelmelanom - postoperatives Pyoderma gangraenosum - Acne inversa - inguinaler/axillärer Abszess

Key words

livedovasculopathy - subungual melanoma - postoperative pyoderma gangrenosum - hidradenitis suppurativa - inguinal/axillary abscess
 

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