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Terminology of Skin Lesions

Overview


 Terminology Used to Describe Skin Lesions
  
TermDescriptionPhoto
Rash/eruptionDescribes more widespread skin involvement that can be composed of several lesions with primary and secondary morphologiese.g., chicken pox This clinical photograph shows a rash or eruption, with widespread skin involvement.  
MaculeFlat lesion < 1 cm in diametere.g., frecklesMacule
PatchFlat lesion > 1 cm in diametere.g., cafe-au-lait spotCafe au lait patch 
PapuleElevated lesion that is < 1 cm in diameterPalpable lesione.g., acnePapule
PlaqueElevated lesion that is > 1 cm diameterPalpablePalpable Papules and Plaquese.g., plaque psoriasisPlaque
NodulePalpable, solid, round, or ellipsoidal lesion of dermal origine.g., erythema nodosumNodule
VesicleSmall fluid containing lesion that is < 0.5 cme.g., zosterVesicles of HSV
PustuleVesicle containing purulent materialMay be white or yellowIs not always infected (e.g. sterile pustule)e.g., pustular psoriasisAcneiform pustule
WhealEdematous papule or plaque caused by swelling in the dermise.g., urticariaUrticarial wheal
BullaLarge fluid containing lesion that is > 0.5 cmCan be multi-loculatede.g., bullous pemphigoidBulla
CystClosed epithelial-lined cavity or sac containing liquid or semi-solid material Fluctuant as it contains liquide.g., epidermal inclusion cyst   Chalezion cyst  
PurpuraNon-palpable purpurapetechiae (< 3 mm)ecchymoses (> 5 mm)Palpable purpuraIndicates extravasation of red blood cells into the skine.g., small vessel vasculitis Purpura  
PetechiaeSmall red, purple, or brown pinpoint dots indicative of hemorrhageNon-blanchinge.g., thrombocytopenia  Petechiae in ITP  
EcchymosesPurple or brown lesions covering a larger areaNon-blanchinge.g., traumatic bruisehttps://upload.medbullets.com/topic/120040/images/pferdekuss.jpg
LichenificationAccentuated skin markings in thick epidermis due to scratchinge.g., atopic dermatitisLicheniication 
KeloidIrregular plaque-like lesion resulting from abnormal healing and extends beyond the borders of initial woundEar Keloid 
HyperkeratosisIncreased thickness of stratum corneum seen in chronic dermatitise.g., calluseshttps://upload.medbullets.com/topic/120040/images/hyperkeratosis.jpg
ParakeratosisHyperkeratosis with retention of nuclei in stratum corneum and thinning of stratum granulosume.g., classic finding in psoriasishttps://upload.medbullets.com/topic/120040/images/parakeratosis.jpg
AnnularRing shaped lesione.g., ringworm infectionhttps://upload.medbullets.com/topic/120040/images/yeartinfection.jpg