Language of Dermatologists

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Principle skin lesions

Primary Lesions Macule Flat discoloured spot of varied size and shape [< 1-2 cm]

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Macule
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Principle skin lesions

Primary Lesions (Contd.) Patch Flat discoloured spot of varied size and shape (> 2 cm.)

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Patch
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Principle skin lesions

Primary Lesions (Contd.)

Papule Solid elevated lesion [< 5 mm in diameter]

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Papule

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Principle skin lesions

Primary Lesions (Contd.)

Plaque Group of confluent papules.

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Plaque
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Principle skin lesions

Primary Lesions (Contd.) Nodule Palpable solid lesion > 5 or 10 mm in diameter that may not be elevated.
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Nodule
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Principle skin lesions

Primary Lesions (Contd.) Vesicle Circumscribed elevated lesion < 5 mm in diameter that contains serous fluid.
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Vesicle
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Principle skin lesions

Primary Lesions (Contd.)

Bulla (Blister) Vesicle > 5 mm in diameter

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Bulla (Blister)
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Principle skin lesions

Primary Lesions (Contd.) Pustule Superficial, elevated lesion with pus.

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Pustule
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Principle skin lesions

Primary Lesions (Contd.) Wheal
Transient elevated

lesion (Urticaria) caused due to local oedema.

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Wheal (Urticaria)
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Principle skin lesions

Primary Lesions (Contd.) Telangiectasia Dilation of superficial blood capillaries and venules.
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Telangiectasia
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Principle skin lesions

Primary Lesions (Contd.) Tumors Soft, firm, freely movable, fixed masses of various sizes & shapes.
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Tumors
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Principle skin lesions

Secondary Lesions Scales Heaped up particles of horny layer.

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Scales
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Principle skin lesions

Secondary Lesions (Contd.) Crust Dried serum, blood / pus.

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Crust

Principle skin lesions

Secondary Lesions (Contd.) Erosion Loss of part of

epidermis
or entire epidermis.
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Erosion
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Principle skin lesions

Secondary Lesions (Contd.) Ulcer Loss of Epidermis & Dermis.

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Ulcer
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Principle skin lesions

Secondary Lesions (Contd.)

Excoriation Linear or hollowed out crusted area, due to scratching / rubbing / picking.
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Excoriation
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Principle skin lesions

Secondary Lesions (Contd.) Lichenification

Thickening of the skin.

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Lichenification

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Principle skin lesions

Secondary Lesions (Contd.)

Atrophy

Thinning / Wrinkling
of the skin like

cigarette paper.
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Atrophy
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Principle skin lesions

Secondary Lesions (Contd.)

Scar

The result of healing after destruction of dermis.

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Scar

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Principle skin lesions

Secondary Lesions (Contd.) Fissure Linear cleft through epidermis / or rarely into the dermis due to disease / injuries.
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Fissure

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Principle skin lesions

Secondary Lesions (Contd.) Necrosis Death of the skin

tissues.

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Necrosis

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Principle skin lesions

Secondary Lesions (Contd.) Sclerosis Hardening of the

skin.

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Sclerosis
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