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example of primary vs secondary lesion
primary: plaque from eczema
secondary: scratching —> bleeding and erythema
Papule
superficial elevated solid lesion less than 1 cm in diam
small, circumscribed
Plaque
superficial flat topped lesion greater than 1 cm in diam
palpable lesion elevated above skin
nodule
deep solid lesion usually greater than 1 cm in diam
cyst
walled cavity containing keratin, mucin, or fluid
a nodule is under
epidermis
Macule
nonpalpable FLAT lesion less than 1 cm in diam
lesion w color change or texture change
patch
nonpalp lesion greater than 1 cm diam
FLAT, essentially larger macule
Vesicle
superficial fluid filled lesion less than 1 cm
elevated lesion, clear fluid
bullae
superficial fluid filled lesion greater than 1 cm
elevated, clear fluid
pustule
superficial localized accumulation of pus
less than 1 cm
elevated lesion
Crust
scab dried exudate of plasma/blood on surface of skin
scale
thickened stratum corneum
scar
visible alteration of skin following repair of injury
atrophy
loss of tissue (epidermal, dermal, subcutaneous)
lichenification
epidermal thickening characterized by thickening and accentuation of skin markings
Excoriation
oval or linear depressions in skin w/ complete removal of epidermis
Fissure
linear wedge shaped breaks in epidermis extending down to dermis
erosion
moist circumscribed depressed area limited to epidermis
Ulcer
defect devoid of epidermis extending into dermis of subcut tissue
Turgor
slowness to return to normal position when pinched
Most viral exanthems are caused by
enteroviruses
Viral exanthems