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

  • \

  • 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)