Lesions

Macule

Skin color change , smaller than 1 cm

freckles and petechiae

Papule

Palpable, circumscribed, solid elevation of skin smaller than 1 cm

elevated nervus

Nodule

palpable, circumscribed, deep firm , 1 to 2 cm

Wart

Vesicle

Serous fluid filled smaller than 1 cm

blister, herpes, simplex, varcilla

Pustulla

pus-filled , varies in size

acne

Tumor

solid mass , deep larger than 1 to 2 cm

epithelioma

Wheal

palpable, irregular border edematous

insect bite

atrophy

thinning of skin with loss of normal skin furrow

skin is shiny and transulcent

arterial insufficiency

Erosion

lost epidermis, moist surface, no bleeding

ruptured vesicle

crust

dried blood, serum or pus

scab

scale

flakes of skin that exfoliate

dandruff, psoriasis, eczema

Fissure

Linear crack

tinea pedis

Ulcer

Loss of epidermis and dermis with possible bleeding, scarring

Venous stasis ulcer, pressure ulcer

ABCDE

Primary lesions

Macule, papule, nodule, vesicles, pustule, tumor, wheal, atrophy

Secondary lesions

erosion, crust, scale, fissure, ulcer

Spider angioma

red center with radiating red legs, up to 2 cm, possibly raised

Cherry angioma

Red, 1 to 3 cm round possibly raised

Spider vein

Bluish, spider-shaped or linear, up to several inches in size

Petechiae/purpura

Deep reddish purple, flat petechiae 1 to 3 mm purpura larger than 3mm

Ecchymosis

purple fading to green or yellow over time variable in size flat

hematoma

raised ecchymosis

Vascular lesions

Spider angioma, cherry angioma, spider vein, petechiae / purpura, ecchymosis, hematoma