2) Terminology Flashcards
Stratum corneum
- Consists of terminally differentiated keratinocytes (corneocytes)
- Outermost layer
Stratum lucidum
- Thin, clear layer which is translucent (volar skin)
Stratum granulosum
- Thin layer of keratinocytes with keratohyalin granules
Stratum spinosum
- Appears “spiny” when stained with H & E
Stratum basale
- Deepest layer
- Consisting of keratinocytes, melanocytes, langerhans cells, and merkel cells
Papillary layer
- Directly beneath the epidermis
- Contains papillae which house looped capillaries and corpuscles
- Lose areolar connective tissue
Reticular layer
- Deeper layer which contains vessels, glands, etc.
- Connective tissue is dense and irregular
- Orientation of collagen fibers contributes to skin tension lines (Langer’s lines)
Macule
- Flat, colored lesion
- Less than 2cm
- Not raised above the skin
Patch
- Larger, flat colored lesion
- Greater than 2cm
- Differs from macule only in size
Papule
- Small, solid lesion
- Less than 0.5cm in diameter
- Raised above the surface of surrounding skin and is palpable
Nodule
- Larger, firm lesion
- 0.5 to 5cm
- Raised above the surface
- Differs from papule in size
Tumor
- Solid, raised growth
- Varies in size and depth
Plaque
- Large, greater than 1cm
- Flat-topped, raised lesion
- Edges may be distinct or blend to surrounding skin
Vesicle
- Small, fluid-filled lesion above the surrounding skin
- Measures less than 0.5cm
Pustule
- Vesicle filled with leukocytes
Bulla
- Fluid filled lesion above the surrounding skin measuring greater than 0.5cm in diameter
Wheal
- Raised, erythematous, edematous papule or plaque
- Brought on by temporary vasodilation and vasopermeability
Telangiectasia
- Dilated, superficial blood vessel
Lichenification
- Distinctive thickening of skin
- Characterized by accentuated skin-fold markings
Scale
- Excessive accumulation of stratum corneum
Crust
- Dried exudate of body fluids which are either serous (yellow) or hemorrhagic (red)
Erosion
- Loss of epidermis without the loss of associated dermis
Ulcer
- Loss of epidermis and at least a portion of the underlying dermis
Excoriation
- Linear, angular erosion that may be covered by crust
- Caused by scratching
Atrophy
- Loss of substance which may appear as a depression of intact epidermis (dermal atrophy) or shiny, delicate, wrinkled lesions (epidermal atrophy)
Scar
- Fibrotic change in the skin secondary to trauma or inflammation
- May be erythematous, hypo/hyperpigmented
Alopecia
- Hair loss which may be partial or complete
Annular
- Describes a ring shaped lesion
Cyst
- Soft, raised, encapsulated lesion
- Filled with liquid or semi-solid content
Herpetiform
- Refers to grouped lesions
Lichenoid
- Violacious to purple
- Polygonal lesions that resemble those seen in lichen planus
Milia
- Small, firm, white papules filled with keratin
Morbilliform
- Generalized, small erythematous macules and/or papules like that of measles
Nummular
- Coin shaped lesions
Poikiloderma
- Refers to skin that demonstrates variegated pigmentation, atrophy, and telangiectases
Polycyclic
- Configuration of skin lesions formed from coalescing rings or incomplete rings
Pruritis
- Sensation that elicits the desire to scratch