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Telangiectasia are the permanent dilatation of superficial blood vessels in the skin and
may occur as isolated phenomena or as part of a generalized disorder, such as ataxia
telangiectasia.
4. ULCER
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Deeper loss of skin and mucosa, extending below the dermo-epidermal junction.
(necrosis of the epidermis and dermis and sometimes of the underlying subcutaneous
tissue)
This heals with scarring
e.g ecthyma
** N.B an erosion will heal without scaring
5. SCALE
Heaped up stratum corneum cells fromed in many common skin diseases
e.g scabies
6. SCAR
The end result of a healed ulcer
The permanent fibrotic changes that occur on the skin following damage to the dermis.
Maybe flat or hypertrophic
Scars may have secondary pigment characteristics
7. KELOIDS
Keloids are an exaggerated connective tissue response of injured skin that extend beyond
the edges of the original wound.
(firm solid over growth of fibrous tissue)
8. CYST:
subcutaneous lump containing fluid or semisolid material
9. EXCORIATION (Scratch)
Irregular mark on the skin resulting from epidermal loss caused by scratching
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30. FOLLICULAR
It is sometimes helpful to determine if lesions specifically involve the hair follicle.
31. GUTTATE
Guttate lesions look as though someone took a dropper and dropped this lesion on the
skin. Guttate lesions are characteristic of one form of psoriasis, though that is not the only
example.
32. IRIS OR TARGET LESIONS
Iris lesions are also known as target lesions and are a series of concentric rings. These
have a dark or blistered center. These lesions are frequently seen with erythema
multiforme but not exclusively so.
33. KOEBNER PHENOMENON
The Koebner phenomenon, also called the isomorphic response, refers to the appearance
of lesions along a site of injury. This phenomenon is seen in a variety of conditions; for
example, lichen planus, warts, molluscum contagiosum, psoriasis, lichen nitidus, and the
systemic form of juvenile rheumatoid arthritis.
34. LINEAR LESIONS
Linear lesions occur in a line or band-like configuration. This descriptive term may apply
to a wide variety of disorders. (One should be certain that the lesions are not following a
dermatome.)
35. MULTIFORM
Patients with multiform lesions have lesions of a variety of shapes.
36. RETICULAR
Reticular or net-like lesions can be seen in a variety of circumstances; e.g., very
commonly in newborns (or even grown children and adults) as cutis marmorata, or with
livedo reticularis. The former fades as the skin is warmed the latter becomes more florid.
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37. SERPIGINOUS
Serpiginous lesions wander as though following the track of a snake.
38. UNIVERSALIS
Universalis refers to a widespread disorder that affects the entire skin.
39. SCARLATINIFORM
Scarlatiniform rashes have the pattern of scarlet fever. The patient with a scarlatiniform
rash has innumerable small red papules that are widely and diffusely distributed. Note
that the term scarlatiniform does not mean that the patient has scarlet fever, although by
definition all patients with scarlet fever have a scarlatiniform rash. Patients with a variety
of other conditions such as Kawasaki disease, viral infections, or drug reactions may have
rashes with the same pattern.
40. STRAWBERRY TONGUE
Patients with scarlet fever, Kawasaki disease or other conditions may develop a
distinctive appearance of their tongues. Because of its resemblance to the well-known
berry, the appearance is called "strawberry tongue."
41. MORBILLIFORM
The term "morbilliform" means that the patient has a rash that looks like measles.
Patients with measles will have the rash but patients with Kawasaki disease, drug
reactions, or other conditions may also have a morbilliform rash. The rash consists of
macular lesions that are red and are usually 2-10 mm in diameter but may be confluent in
places.
42. SATELLITE LESIONS
The term is commonly used to describe a portion of the rash of cutaneous candidiasis in
which a beefy red plaque may be found surrounded by numerous, smaller red macules
located adjacent to the body of the main lesions.
43. PATTERNS OF INTENTIONAL OR UNINTENTIONAL INJURY
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One important category of skin lesions involve the form that skin lesions may take in
cases of child abuse or other intentional injury (bite marks, slap marks, strap marks,
burns, etc.) or in cases of unintentional injury. Abrasions are traumatically caused
erosions.