Figure 6. Late cutaneous manifestations.

Fig. 6a–d: Oedematous infiltrative stage of acrodermatitis chronica

Fig. 6a: Acrodermatitis chronica. Homogenous reddening of the left leg without atrophy, persisting for one year

Fig. 6b: Acrodermatitis chronica in the oedematous infiltrative stage. Hard swelling and purple colouring of the right leg with swelling of the Achilles tendon and swelling of the ankle joint

Fig. 6c: Acrodermatitis in the oedematous infiltrative stage.

Blotchy purple confluent erythemas on the left arm of a 15-year-old girl

Fig. 6d: Typical perivascular plasma-cellular infiltrate in the case of acrodermatitis chronica

Fig. 6 e–g: Atrophic stage of ACA

Fig. 6e: ACA – Purple colouring and atrophy on the back of the right hand and little finger, and purple blotches, stripes and infiltrates dorsally on the right knee

Fig. 6f: ACA with ulnar stripes and purple blotches on the right underarm, and pronounced purple fibrous nodules below the elbow

Fig. 6g: ACA with dark red to purple colouring and atrophy of the right hand dorsally (so-called “baked apple skin”) with swelling of the finger joints