Primary Skin Lesions

LESION Macule Patch Papule Plaque Nodule Tumor Wheal Vesicles Bullae Pustule Cyst SIZE
<1 cm >1 cm <1 cm >0.5 cm 2 cm >2 cm

CHARACTERISTICS
Flat, non-palpable Large macule Solid, raised, distinct borders Solid, raised, flat top, indistinct borders Raised, firm, moveable Large nodule, may be firm or soft Palpable, red, circumscribed swelling in upper epidermis Raised, contain clear fluid Large vesicle Vesicle with white cellular debris, may be sterile or infected Palpable, raised, distinct borders, contains fluid or semi-solid material Plugged, dilated hair follicle or pore with keratin and sebum. Linear lesions

varied

<1 cm >1 cm varied

varied

Comedo Burrow

varied

varied

Vascular Skin Lesions

LESION Telangiactasia Pupura Hematoma Petechia Ecchymosis Angioma or Hemangioma SIZE
varied

CHARACTERISTICS
Permanent dilation of superficial blood vessels, nonpalpable Usually nonpalpable discoloration, caused by bleeding in the skin. Does not blanch Moderate sized purpura, nonpalpable Tiny lesion of purpura, nonpalpable Large lesion of purpura, may be palpable Papule made of blood vessels

varied

moderate tiny large < 1 cm

Secondary Skin Lesions

LESION Scales Desquamation Crusts Lichenification Atrophy Keloid Striae Excoriation Fissure Erosion Ulcer Scar CHARACTERISTICS
Thin, flaking layers of epidermis Peeling sheets of scale Dried exudates or scab Thickened and rough layers of the skin Thinning or wasting of tissue Healed lesion of hypertrophied connective tissue Fine pink or silver lines in areas where skin has stretched Abrasion or removal of epidermis; scratch Linear, wedge-shaped cracks extending into dermis Depressed area with loss of superficial epidermis. Oozing or moist Deeper than erosion, may extend into dermis Fibrous connective tissue caused by healing

Acral: Involving extremities (hands, feet, ears, etc) Annular: Ring-shaped Arcuate: Arc-shaped Circinate: Circular Confluent: Running together Contiguous: Touching or adjacent Discrete: Distinct and separate Diffuse or generalized: Scattered, widely distributed Eczematous: Referring to vesicles with oozing crust Grouped: Arranged in sets Guttate: Small, drop-like Herpetiform: Grouped vesicles resembling those of herpes Iris: Arranged in concentric circles, one inside the other Linear: Arranged in a line Localized: In a limited area Nummular: Coin-shaped Pedunculated: Having a stalk Polycyclic: Oval with more than one ring Reticular: Netlike Serpiginous: Snake-like, creeping Symmetric: Balanced on both sides Telangiectatic: Referring to dilated terminal vessels Umbilicated: Depressed or shaped like a navel Verrucous: Wart-like Zosteriform: Resembling shingles, following a dermatome
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