Primary and Secondary Skin Lesions Fiat, nonpalpable change in skin color ‘Macules are smaller than 1 cm, witha cit- ccumscrbed border and patches are larger than Tem andmay have an livegular border. ‘Examples Macules freckles, measles, and ppetechiae Patches: mongolian spots, port wine stains vitligo, and chloasme, Elevate, solid palpable mass with circum sabed bordet Popules are smaller than (5S em:ploques ae groups of papules thet formlesion lange than OS crn. ‘Examples Papules:elevated moles warts and lichen planus. Plaques-psoria- sis actinickeratosis and also lichen planus. Elevated solid hard orsoft palpable ‘mass extending deeper into the dermis. than a pepule.Nodules have crcurm- scribed borders and are 0.5 to 2em tumors may have irregular borders and are larger then 2em. Examples Nodules:small lipoma, squamous cel carcinoma, fibroma, and intradermal nev Tumors:arge lipoma, ‘arcinema, and hemangioma Blevated fuid-filed round or ‘oval-shaped. palpable mass with thin translucent walls and cccum- scribed borders Vesicles are smaller than 05cm bullae are larger than 05 cm. Examples Vesicles herpes simplex/zoster early chickenpox, olson ivy.and small burn blisters. Bulle: contact dermatitis fiction Dlstersand large bur blisters, Elevated often reddish area with inegular border caused by difuse fluid in tissues rather than free fuld ina cavity, asin vesicles Siz varies, Examples insect bites and hives (extensive wheal). evated pus filed vesicle or bulla with cGrcumacibed border Siz varies. Examples Acne impetigo, and carbun- des Vargeboit indary Skin Lesions (continued) erated encapsuated, ult fled semisolid mas orgiating nthe sub ‘ataneou tise of dermis usually Yamorlager ‘Examples Varetles include sebaceous ‘ots and epidermoid cats. -transiicent dry, paperita some tums wind skin surface resting fiomthinning or wasting ofthe stn eto loss of callgen andelastin, Examples Sue, aged sin. Wearing away ofthe supericalepider. mis causing 2 moist shallow depres. sion. Because erosions donot extend Into the dis they heal without scar. ‘ng. Examples Scratch marks ruptured vesh. es ough. thickened hardened area of {epidermis rezutng from chronic ‘on such as scatching or rubbing. [Example Chronic dermattis Shedang fakes of groasy keratnized ‘skin tua Color maybe whit, gray. oF sive Texture may vary from feo thick Examples ry sn dann sts Dry blood, serum or pus left on the stn surface when vesicles or pustules burs. ‘Canbe red-brown, oranga.oryelow. Large crusts that adhere to the sh sur- face are called cabs. ‘Examples Eczema Impetion herpes. oF scabstoliowingabrasion. ‘Deep iegulaly shaped area of stn loss ‘extending into the dermis oF subcuta- ‘neous tse. May bleed May lave sa. ‘Examples Decubtus ues (pressure sores) stasis ulcers chances. LUnearcrackwth sharp edges extencing Into the dermis. ‘Examples Gracs atthe comers of the ‘mouth orn the hands. athlete foot. ‘at regular are of connective tssu@ Jeftaftera lesion or wound has healed, "Naw scarsmay be redor purple; older ‘cas may bestvery or white, ‘Examples Healed surgical wound orin- Junghealed acne. Eloyated regular, darkened area of ex- ‘ess scartssue caused by excessive cok tagenformation during healing. Extends ‘beyond the sta of the cipal injury. Higher ncidencein people of Afican descent. ‘Examples Kelokd fom ear plerang or surgery.