Skin lesions - terminology Skin lesions •A lesion is any single area of altered skin •Primary - macule, papule, nodule, wheal, vesicle, bulla, pustule •Secondary – scale, crust, fissure, erosion, excoriation •Other –plaque, cyst • •A rash is a widespread eruption of lesions •Exanthema - generalized, symetric •Enanthema – mucous membranes Macule –papule- pustule – vesicle –bulla –blister- pomphus-wheal- tuber- nodule • recklinghausen-cafe-au-lait-stehno pustuly-dlane halo-nevus pseudolymfom1_IMG Scale – erosion - excoriation – fissure – ulcer –crust - necrosis • nik39690 nik33138 ichtyosis-vulgaris-paze psoriasa-celo-kstice ten-biseptol-zada foto canon 12-2009 005 8vasculitis-allergica-hyzde •Erythema •Hyperpigmentation, freckle, lentigo •Depigmentation •Sclerosis, scleroderma •Purpura, ecchymosis, petechia •Telangiectasia •Alopetia •Effluvium diffuse nik39732 nik24098 •Comedo •Atrophy, hypertrophy, • scar, keloid, stria •Folicullitis •Cellulitis •Hypertrichosis •Hirsuties •Lichenification •Keratosis •Wart • verrucae-periung 03 01 Výsledek obrázku pro hirsutismus Lesions •Size •Colour •Texture •Border •Surface •Symmetry •Symptoms • herpes-zoster-opht Herpes zoster ophtalmicus Shapes and patterns •Annular, circinate, arcuate, polycyclic •Disseminated •Follicular •Geographic •Herpetiform •Target •Linear •Cribriform •Nummular and discoid •Serpiginous •Zosteriform - dermatomal foto canon 12-2009 018 WP_000876 •Generalized – exanthematous, confluent •Morbilliform •Oval, digitate –fir tree pattern •Lymphatic spread •Koebner phenomenon •Reticulate •Livedo •Erythroderma • psoriasa-erytrodermie-incip parapsoriasis-trup-digitatni psoriasis-kobner-bok Atopic dermatitis 5eczema-atopicum-trup-znova 01 Psoriasis •acute •chronic psoriasis-guttata-hkk-zena psoriasis-kriz Acne – rosacea * perioral dermatitis 01 07 Scabies sarcoptes novak Drug eruptions 01 Photosensitive 05 05 Intertrigineous Seborrhoeic 02 10 Ulcers • ulcus-cruris-atrophie-alba ulcus-cruris-smiseny pyoderma-gangrenosum-berec