2- Derma
Excoriations - linear abrasion/ scratchmark
- Acne excoriee
- Uremic pruritus
Fissures
- Chronic hand dermatitis
- Heel fissures
Erosions loss of ALL/portion EPIDERMIS
- Without scar
- Pemphigus vulgaris
- SJS Stevens-Johnson syndrome
- Pressure injury
ULCER epidermis + dermis
- With scarring
- Pyoderma gangrenosum
- Stasis ulcer
- Basal cell carcinoma
SCARS dermis/deeper
- Atrophic scars in Discoid Lupus erythematosus
- Keloid sec. To acne
- Hypertrophic scar
Distribution
Localized: atopic cheilitis
Generalized: exfoliative dermatitis
Bilateral/symmetric: allergic contact dermatitis (endogenous cause)
Segmental: vitiligo
Sun-exposed: actinic prurigo
Sun-protected: pityriasis rosea
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Extensor: infantile atopic dermatitis
Flexor: adult atopic dermatitis
Dermatomes: herpes zoster
Intertriginous: candidal intertrigo
Seborrheic: seborrheic dermatitis
Follicular: Keratosis Pilaris
Lines of cleavage: pityriasis rosea
Lines of Blaschko: lichen striatus
Grouped/clustered: herpes zoster
Scattered: varicella
Annular: granuloma annulare
Round/nummular/discoid: nummular eczema
Arcuate: urticaria (Arch shaped)- incomplete shape of annular
Linear - koebnerization in psoriasis
(due to scratching) appearance of new lesions in response to trauma/scratching
- Stellate: calciphylaxis (star shaped)
- Serpiginous: CLM cutaneous larva migrans
- Targetoid- erythema multiforme (3 zones, pale ring , erythematous border)
- Whorled- incontinentia pigmenti
- Guttate: guttate psoriasis
- Reticular: erythema ab igne (lace like appearance)
COLOR
- White (depigmented) - Vitiligo
- White (hypopigmented) - tinea versicolor
- Brown - cafe-au-lait macules
- Black - melanoma
- Red (erythema) - Rubeola
- Purple (violaceous) - Kaposi sarcoma - px living w/ HIV
- Orange-red - pityriasis rubra pilaris
- Yellow - xanthelasma
- Green- pseudomonas infxn (pyocyanin)
Blue - nevus of ota (deep layer of dermis), OCRANOSIS (prolonged use of hydroquinone)