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Language of

Dermatologists

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Macule Flat discoloured spot

of varied size and

shape [< 1-2 cm]

Primary Lesions

Principle skin lesions

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Macule

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Principle skin lesions

Patch Flat discoloured spot of

varied size and shape (>

2 cm.)

Primary Lesions (Contd.)

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Patch

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Principle skin lesions

Papule Solid elevated lesion

[< 5 mm in diameter]

Primary Lesions (Contd.)

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Papule

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Principle skin lesions

Plaque Group of confluent

papules.

Primary Lesions (Contd.)

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Plaque

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Principle skin lesions

Nodule Palpable solid lesion >

5 or 10 mm in

diameter that maynot be elevated.

Primary Lesions (Contd.)

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Nodule

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Principle skin lesions

Vesicle Circumscribed elevated

lesion < 5 mm in

diameter that containsserous fluid.

Primary Lesions (Contd.)

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Vesicle

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Principle skin lesions

Bulla (Blister) Vesicle > 5 mm in

diameter

Primary Lesions (Contd.)

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Bulla (Blister)

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Principle skin lesions

Pustule Superficial, elevated

lesion with pus.

Primary Lesions (Contd.)

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Pustule

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Principle skin lesions

Wheal Transient elevated

lesion (Urticaria)

caused due to localoedema.

Primary Lesions (Contd.)

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Wheal (Urticaria)

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Principle skin lesions

Telangiectasia Dilation of

superficial

blood capillariesand venules.

Primary Lesions (Contd.)

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Telangiectasia

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Principle skin lesions

Tumors Soft, firm, freely

movable, fixed masses

of various sizes &

shapes.

Primary Lesions (Contd.)

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Tumors

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Principle skin lesions

Scales Heaped up particles of

horny layer.

Secondary Lesions

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Scales

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Principle skin lesions

Crust Dried serum, blood /

pus.

Secondary Lesions (Contd.)

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Crust

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Principle skin lesions

Erosion Loss of part of

epidermis

or entire epidermis.

Secondary Lesions (Contd.)

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Erosion

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Principle skin lesions

Ulcer Loss of Epidermis &

Dermis.

Secondary Lesions (Contd.)

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Ulcer

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Principle skin lesions

Excoriation Linear or hollowedout crusted area,

due to scratching /

rubbing / picking.

Secondary Lesions (Contd.)

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Excoriation

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Principle skin lesions

Lichenification Thickening of

the skin.

Secondary Lesions (Contd.)

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Lichenification

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Principle skin lesions

Atrophy Thinning / Wrinkling

of the skin like

cigarette paper.

Secondary Lesions (Contd.)

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Atrophy

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Principle skin lesions

Scar The result of healing

after destruction of

dermis.

Secondary Lesions (Contd.)

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Scar

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Principle skin lesions

Fissure Linear cleft through

epidermis / or rarely into

the dermis due to

disease / injuries.

Secondary Lesions (Contd.)

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Fissure

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Principle skin lesions

Necrosis Death of the skin

tissues.

Secondary Lesions (Contd.)

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Principle skin lesions

Sclerosis Hardening of the

skin.

Secondary Lesions (Contd.)

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Sclerosis