Dermatology I Flashcards
What is a primary lesion?
initial eruption that develops spontaneously as a direct reflection of underlying disease
What is a secondary lesion?
- evolve from primary lesions
- are artifacts induced by the patient or external trauma or meds
What are some primary lesions?
macule or patch, papule or plaque, pustule, vesicle or bulla, wheal, nodule
What are some secondary lesions?
epidermal collarette, scar, excoriation, erosion or ulcer, fissure, lichenification
Lesions that may be primary or secondary?
alopecia, scale, crust, follicular casts, comedones
What is this?
Pustule
- circumscribed elevation of skin containing pus
- signifies inflammation
What is a macule?
- circumscribed flat area of colour change
- < 1 cm in diameter
what is a patch?
- circumscribes flat area of colour change
- < 1 cm in diameter
How can macules & patches present?
- erythema
- hyperpigmentation
- hemorrhage
- depigmentation
What is this?
erythematous macules
What is this?
Lentigo, orange kitty disease, hyperpigmented macules on nose & lips
What is this?
hyperpigmented macule
What is another type of hyperpigmented macule than lentigo?
post-inflammatory
What is this?
hemorrhagic patches
Causes of hemorrhage?
- trauma, vasculitis, vasculopathy, coagulopathy
What is this?
depigmentation macules
What are some types of depigmentation?
- vitiligo
- discoid lupus erythematosus
- uveodermatologic syndrome
- mucocutaneous pyoderma
What is a papule?
- solid elevated lesion < 1 cm in diameter
- localized cellular infiltrate
what are examples of papules?
pyoderma, miliary dermatitis
what is a nodule?
- a circumscribed solid elevation > 1 cm in diameter
- usually extends into deeper layers of skin
- infiltration of inflammatory or neoplastic cells
What are examples of nodules?
neoplasia, granulomatous inflammation
What is a wheal?
hives
- a sharply circumscribed raised lesion consisting of edema
- associated w/ allergic reactions or vascular leakage
what is this?
wheal, which can cause tufting of the hair (but not all tufting of the hair is hives)
what is a plaque?
- flat elevation in skin > 1 cm in diameter
- can be a coalition of papules (indicates chronic inflammatory disease)