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
