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Derm Definitions
Derm Definitions
25
Other
Professional
12/30/2012

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Term
Primary Lesion
Definition

- Physical changes in the skin considered to be caused directly by the disease process

- Types of primary lesions are rarely specific to a single disease entity

Term
Secondary Lesion
Definition

- May evolve from primary lesions or may be caused by external forces such as scratching, trauma, infection, or the healing process

- Distinction between a primary and secondary lesion is not always clear.

Term

- Solid raised lesion that has distinct borders and is less than 1 cm in diameter

- May have a variety of shapes in profile (domed, flat-topped, umbilicated) and may be associated with secondary features such as crusts or scales

Definition

Papule

Term
A raised solid lesion more than 1 cm. and may be in the epidermis, dermis, or subcutaneous tissue.
Definition
Nodule
Term

- A change in the color of the skin

- It is flat, if you were to close your eyes and run your fingers over the surface of a purely macular lesion, you could not detect it

- Greater than 1 cm

- May be referred to as a patch

Definition
Macule
Term
A solid mass of the skin or subcutaneous tissue; it is larger than a nodule.
Definition
Tumor
Term

- A solid, raised, flat-topped lesion greater than 1 cm. in diameter

- It is analogous to the geological formation, the plateau.

Definition
Plaque
Term
- Raised lesions less than 1 cm. in diameter that are filled with clear fluid
Definition
Vesicle
Term
- Circumscribed fluid-filled lesions that are greater than 1 cm. in diamete
Definition
Bullae
Term

- Circumscribed elevated lesions that contain pus

- They are most commonly infected (as in folliculitis) but may be sterile (as in pustular psoriasis).

Definition
Pustule
Term
- An area of edema in the upper epidermis
Definition
Wheal
Term

- Linear lesions produced by infestation of the skin and formation of tunnels

Definition
Burrow
Term
- permanent dilatation of superficial blood vessels in the skin and may occur as isolated phenomena or as part of a generalized disorder
Definition
Telangiectasia
Term

- Flakes or plates that represent compacted desquamated layers of stratum corneum

- Desquamation occurs when there are peeling sheets following acute injury to the skin

Definition
Scale
Term

- Result of the drying of plasma or exudate on the skin

- Different than scaling (can be distinguished from the other by appearance alone)

Definition
Crust
Term
- Thinning or absence of the epidermis or subcutaneous fat.
Definition
Atrophy
Term

- Thickening of the epidermis seen with exaggeration of normal skin lines

- It is usually due to chronic rubbing or scratching of an area

Definition
Lichenification
Term
- Slightly depressed areas of skin in which part or all of the epidermis has been lost
Definition
Erosion
Term
- Traumatized or abraded skin caused by scratching or rubbing
Definition
Exoriation
Term
- Linear cleavage of skin which extends into the dermis
Definition
Fissure
Term
- Necrosis of the epidermis and dermis and sometimes of the underlying subcutaneous tissue.
Definition
Ulceration
Term

- Permanent fibrotic changes that occur on the skin following damage to the dermis

- May have secondary pigment characteristics

Definition
Scar
Term
- A hard plaque covering an ulcer implying extensive tissue necrosis, infarcts, deep burns, or gangrene
Definition
Eschar
Term
- An exaggerated connective tissue response of injured skin that extend beyond the edges of the original wound
Definition
Keloids
Term

- Refer to bleeding that occurs in the skin

- Do not blanch when pressed

- If there is any quesiton, press on the lesions carefully with a glas slide

Definition
Petechiae, Purpura, Ecchymoses
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