Some skin diseases are very prone to break down into sores. Example: Scratching, minor skin … Fissure: linear, often painful breaks within the skin surface, as a result of excessive xerosis (dryness of skin).       -erosion In this lesson, we are going to discuss secondary lesions found on the skin.       -fibrosis Primary Lesions Furthermore, skin lesions can be broken down into two major groups: primary and secondary.       -milium, An erosion is a superficial open wound with loss of Dermal Lesions A dermal lesion refers to any change in the normal condition of the skin. To do that, you need to know how to describe a lesion with the associated language. Lichenification is found in chronic eczema, lichen simplex chronicus and atopic dermatitis. Erosion is an eating away of a surface.       -keloid Erosion Lichenification . Dermal lesions, or skin lesions, can be grouped into two categories: primary and secondary lesions.A primary dermal lesion is an abnormality that has been present from birth or acquired later in life. The following are examples of skin lesions: Freckles are collections of brown pigment that typically occur in children, morphing into age-spots in adults. List of causes of skin erosions and ulcers. » Examples include nevi, warts, lichen planus, insect bites, seborrheic keratoses, actinic keratoses, some lesions of acne, and skin cancers. Scabs and scars that form in the healing (and post-healing) stages after an injury are also classified as secondary tissue lesions. Obviously, before we discuss them, we need to know what a skin lesion is! A lesionis any abnormal growth or area of skin that differs from the skin around it. This language, reviewed here, can be used to describe any skin finding. When confronting skin diseases, it is important that the maxillofacial surgeon collaborate with both the dermatologist and pathologist.       -papule Crust: The thickened, dried-out exudate left when vesicles/pustules burst or dry up.       -maceration If you don't find what you are looking for on this page, try DermNet's Glossary of Dermatology Terms or topics A–Z.Dermatological diagnoses often have more than one name. Looking for medication to treat swollen itching skin lesions and erosion of skin? mongolian spot Linear erosion . Freckles are treated with fading creams, the hydroquinones, or varying levels of chemical peels.       -excoriation Erosion. Lesions      -scale        Ulcer: An ulcer is a discontinuity of the skin exhibiting complete loss of the epidermis and often portions of the dermis and even subcutaneous fat. Primary lesions are abnormalities that result as a direct effect of a disease. Thickening; permanent fibrotic changes that occur on the skin following damage to the dermis . See smartphone apps to check your skin. Skin erosion: Skin erosion is a loss of some or all of the epidermis (the outer layer) leaving a denuded surface. The sulci cutis and cristae cutis are clearly observed (Fig.  Distinct Lesions Full thickness sores are ulcers. Secondary Lesions -scale -crust -excoriation -lichenification -maceration -fissure -erosion -ulcer Distinct Lesions -wheal/hive -burrow -comedone -atrophy -keloid -fibrosis -petechiae -telangiectasis -milium: Erosion. This pathology can occur on any part of the body. Erosion: Loss of portion of the epidermis, superficial and non-scarring (area after a vesicle or bulla ruptures); also see ulcer Eruption: a “breaking out” of the skin or rapidly developing dermatosis Erythematous: a 5 syllable word for “red” Exanthem: a skin eruption typically due to a viral (or some bacterial) systemic disease Vesicle A small, fluid filled lesion, <0.5 cm in diameter, raised above the plane of surrounding skin. Clin Med Derm Skin Lesions questionFlat, circumscribed area that is a change in the color of the skin; less than 1cm in diameter answerMacule questionElevated, firm, circumscribed Example:Scabies EROSION -A shallow, moist, or crusted lesion resulting from the loss of the superficial layers of the upper epidermis only, as from friction or pressure. Surface sores are called erosions; these may start off as blisters or pustules. Induration: dermal thickening causing the cutaneous surface to feel thicker and firmer. DermNet provides Google Translate, a free machine translation service. Loss of epidermis (superficial); Part or all of the epidermis has b een lost Thickening of the epidermis seen with exaggeration of normal skin lines. [Sponsored content]. epidermis or mucosa only. Restrictive dermopathy is a rare, lethal genodermatosis with characteristic manifestations that are easily recognizable at birth: thin, tightly adherent translucent skin with erosions at flexure sites, superficial vessels, typical facial dysmorphism, and generalized joint ankylosis. Lichenification 1. Covers signs of melanoma such as a growth, an irritation or a sore that does not heal, or a change in a wart or a mole. When brown spots begin to raise up, they may be benign seborrheic keratoses. » Erosions and ulcers. Contact us to sponsor a DermNet newsletter. Topics A–Z       -pustule lesions are extensive at time of diagnosis; pythiosis and laegenidiosis have extremely poor prognosis for response to therapy and survival when lesions extensive Key Points • Wide variety of diseases may result in erosions or ulcers of the skin; common causes are burns, trauma, and skin       -cyst       -wheal/hive       -crust       -nodule With your help, we can update and expand the website. Identification and classification of a patient’s skin lesions are important steps in the diagnosis of any skin disorder. DermNet NZ does not provide an online consultation service. Lichen 2.       -tumor The diagnosis of any skin lesion starts with an accurate description of it. If you have any concerns with your skin or its treatment, see a dermatologist for advice. A macule is a distinct discoloration of the skin that is flat and smaller than 1 centimeter in …       -comedone Sponsored content: melanomas are notoriously difficult to discover and diagnose. Partial loss of epidermis. Examples of primary skin lesions: macule, papule, plaque, nodule, tumor, wheal, vesicle, pustule. DermNet NZ refers to various resources when naming conditions, including the World Health Organisation (WHO)'s International Classification of Diseases (see ICD11 coding tool), and the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT).       -atrophy Leukoplakia 1. Skin lesions are common and range from acute inflammatory dermatoses, such as urticaria, to malignant melanoma, which may be life-threatening. 2.       -burrow       -petechiae       -lichenification       -telangiectasis Note that this may not provide an exact translation in all languages, breadcrumbs An erosion is a superficial open wound with loss of epidermis or mucosa only : Lesion … herpes simplex. Such a lesion of the skin as erosion, often bothers men, women. The scales or dead skin flakes that form from psoriasis or dermatitis are another example. Explains how and why it is done. Bulla : a circumscribed, elevated fluid-filled lesion greater than 1 cm in size (e.g. Define and give an example of these secondary lesions: crust, scale, fissure, erosion, ulcer. Fissure: A fissure is a crack in the skin that is usually narrow but deep. Erosion: intraepithelial loss of epidermis, usually heals without scarring, moist, circumscribed, usually depressed lesion due to loss of all or part of the epidermis e.g. The word "erosion" comes from the Latin "erodere" meaning to eat out. 4.28). Examples of vesicle Chicken pox Herpes zoster 25. annular lesions are ring-shaped lesions seen on the skin 1,2,3,4 lesions may be ring-shaped macules, patches, nodules or plaques or as a ringed group of papules, vesicles or pustules differential diagnosis may be broad, but some causes such as tinea corporis or psoriasis are much more common Covers physical exam of the skin for skin cancer.       -ulcer       -fissure But nevertheless, we note that erosive lesions       -bulla ‘Skin lesions present initially as bullae, which then rupture, leaving slow-healing erosions and crusted lesions.’ ‘Physical findings never reveal primary skin lesions, only secondary erosions, ulcers, and crusts and scars, which are often linear in appearance.’ The term maculopapular is often loosely and improperly used to describe many red rashes; because this term is nonspecific and easily misused, it should be avoided.       -macule      -patch Some examples of secondary lesions include ulcers, which perforate the epidermis such that the dermis layer is exposed. Fluid is often visible and the lesions are translucent 24. DermNet NZ does not provide an online consultation service. Other examples of vesicle Impetigo Insect bite Herpes simplex Dermatitis herpetiformis 26. If you have any concerns with your skin or its treatment, see a dermatologist for advice.  Secondary Authoritative facts from DermNet New Zealand. primary skin lesion that has change or evolve, changing characteristics of external trauma, result of a person manipulating (scratching or picking) a primary lesion name the 11 primary skin lesion macule, papule, patch, plaque, wheal, nodule, tumor, vesicle, bulla, pustule, cyst Home epidermolysis bullosa, bullous impetigo). Erosion Loss of superficial epidermis Does NOT extend to dermis Depressed, moist area: Examples of erosions rupture vesicles, scratch marks, aphthous ulcer: Ulcer Skin loss extending past epidermis; necrotic tissue loss, blood or scars possible: Examples of ulcers stasis ulcer of … The numerous descriptive terms used in dermatology can be overwhelming and at times confusing as there are some variations in the use and meaning of these words in the literature. Secondary lesions, on the other … Examples: impetigo, acne.       -vesicle Tearing or wearing off of skin. Primary lesions are those lesions that arise de novo and are therefore the most characteristic of the desease process. Macule. Macule--just color change <1cm: freckle Patch: macule larger than 1 cm: ex. The clinical history, gross appearance, and course of any disease are as important as the microscopic … cal lichen-like skin lesions are called lichenoid eruptions Lichenification is the thickening and hardening of skin that results from chronic disease. Circumscribed and elevated.       -plaque ‘Skin lesions present initially as bullae, which then rupture, leaving slow-healing erosions and crusted lesions.’ ‘Physical findings never reveal primary skin lesions, only secondary erosions, ulcers, and crusts and scars, which are often linear in appearance.’ of the skin Atrophy Thinning or wasting of tissue Keloid Healed lesion of hypertrophied connective tissue Striae Fine pink or silver lines in areas where skin has stretched Excoriation Abrasion or removal of epidermis; scratch Fissure Linear, wedge-shaped cracks extending into dermis Erosion Depressed area with loss of superficial epidermis. Erosions and ulcers, Skin erosions, Skin ulcers. Scar . 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