Secondary Lesions

Question 1

Atrophy

Answer 1

Thinning of the skin surface at the site disorder

Straie and aging skin

Question 2

Crust

Answer 2

Dried sebum, serous sanguineous or purulent exudate overlaying an erosion or weeping vesicle, bulls, or pustule
Impetigo

Question 3

Erosion

Answer 3

Circumscribed, involving loss of superficial epidermis

Rug burn and abrasion

Question 4

Excoriation

Answer 4

Linear scratched or abraded area, often self induced
Abraded acne lesions
Eczema, scabies, dermatitis
“Excavation”

Question 5

Fissure

Answer 5

Linear cracking of the skin extending into the dermal layer
Hand dermatitis
Chapped skin

Question 6

Keloid

Answer 6

Thick red, dark firm scar formed by hyperplasia of fibrous tissue more frequent in blacks and Asians
Surgical incision

Question 7

Lichenification

Answer 7

Thickened, prominent skin markings caused by constant rubbing
Chronic atopic dermatitis

Question 8

Scale

Answer 8

Thin, dry flakes of shedding skin

Psoriasis or dry skin

Question 9

Scar

Answer 9

Fibrous tissue caused by trauma, deep inflammation, or surgical incision, red and raised (recent), pink and flat (6 weeks), pale and depressed (old)
Healed surgical incision

Question 10

Ulcer

Answer 10

Epidermal and dermal destruction, may extend into the subcutaneous tissue usually heals with scarring

Question 11

Maceration

Answer 11

The process of tissue degeneration and disintegration, moisture exposure, skin soft, soggy
Around ostomy, around decubitus ulcer (pressure sore)

Question 12

Primary lesions are the result of what?

Answer 12

Scratching
Irritation
Secondary infection