Anatomic location and Distribution (presentation refer to Bates)

Pityriasis Rosea
Psoriasis
Tinea Versicolor
Atopic Eczema

Pattern and Shape (presentation refer to Bates)

Geographic – Mycosis fungoides

Linear – linear epidermal nevus
Clustered – group vesicle in herpes simplex
Serpiginous – tinea corporis
Annular – annular plaque of tinea faciale (ringworm)

Type of Lesion

Primary Lesions (presentation refer to Bates)

 Macule – small flat spot, up to 1.0cm Hemangioma, vitiligo
 Patch – flat spot, 1.0 cm or larger Café-Au-Lait spot
 Plaque – palpable elevation, elevated lesion 1.0 cm or larger, formed by coalescence of papules Psoriasis
 Papule – palpable elevation, up to 1.0 cm Psoriasis
 Nodule – palpable elevation, knot-like lesion larger than 0.5 cm, deeper and firmer than a papule dermatofibroma
 Cyst – palpable elevation, nodule filled with expressible material, either liquid or semisolid Epidermal inclusive
cyts
 Wheal – palpable elevation, irregular, relatively transient, superficial area of localized skin edema Urticarial
 Vesicle - palpable elevation up to 1.0 cm with serous fluid filled cavity Herpes simplex, herpes zoster
 Bulla - palpable elevation 1.0 cm or larger, filled with serous fluid Insect bite
 Pustule - palpable elevation filled with pus Acne, small pox
 Burrow – linear lesion produced by infestation of the skin and formation of tunnel Scabies

Secondary lesion (presentation refer to Bates)

 Scale – a thin flake of dead exfoliated epidermis Ichthyosis Vulgaris, dry skin
 Crust – dried residue of skin exudates such as serum, pus, blood Impetigo
 Lichenification - thickening of the epidermis and roughening of the skin with exaggeration of normal skin
Neurodermatitis
 Scars – increased connective tissue that arise from injury or disease Hypertrophic scar steroid injection
 Keloid – hypertrophic scarring that extend beyond the borders
 Erosion – nonscarring loss of the superficial epidermis; surface is moist but does not bleed Aphthous stomatitis
 Excoriation – linear or punctate erosion caused by scratching Cat scratches
 Fissure – linear crack in the skin Athlete’s foot
 Ulcer – deeper loss of epidermis and dermis; may bleed and scar Syphilitic chancre

SECONDARY SKIN
PRIMARY SKIN LESIONS
LESIONS
Flat, Palpable elevation
Nonpalpable w/ Depresse
Superficial
changes in skin Solid bumps fluid-filled cavities d
color
MACULE: ≤1cm PAPULE: ≤1cm VESICLE: ≤1cm Scale Erosion
Excoriatio
Crust
PATCHES: ≥ 1cm PLAQUE: ≥ 1cm BULLA: ≥ 1cm n
Lichenificatio
Fissure
  NODULE: > 1cm PUSTULE: pus n
  WHEAL: transient BURROW: scabies Scars Ulcer

C 2017
  CYST   Keloids  

C 2017