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38 Cards in this Set

  • Front
  • Back
Distribution

around the fingernails
periungual
Arrangement

name for
a. random grouping
b. grouping in dermatomes
a. herpetiform
b. zosteriform
Arrangement

a. complete ring
b. incomplete ring
c. multiple rings
a. annular
b. arciform
c. polycyclic
If you see polycyclic arrangment, what dx does this suggest
subacute cutaneous lupus erythematosus
what is the koebner phenomenon
lesion follows trauma (scratch)
Types of lesions

non palpable change in color
a. < 1cm
b. > 1cm
a. macule
b. patch
Types of lesions

palpable, raised
a. < 1cm
b. > 1cm
a. papule
b. nodule
Types of lesions

raised lesion that is wider than it is high
plaque
Types of lesions

fluid-containing, superficial, thin-walled cavity
a. < 1cm diameter
b. > 1cm
a. vesicle
b. bulla
Types of lesions

a. loss of epidermis
b. loss of epidermis and dermis
a. erosion
b. ulcer
Types of lesions

lesion with concentric rings

dx?
target (iris)

suggests erythema muliforme
Lesion with incomplete rings

3 dx?
arciform

granulosum annulare, leprosy, cutaneous T-cell lymphoma
Types of lesions

Central depressed area
Umbilicated
Types of lesions

Pus containing, superficial,thin-walled cavity
pustule
Secondary lesions

Scratched or abraded skin
Excoriation
Secondary lesions

Dried exudates: serous, purulent, or hemorrhageic
crust
Secondary lesions

thick-walled nodule with fluid
cyst
Secondary lesions

sclerotic tissue following injury
scar
Secondary lesions

exaggerated skin markings
lichenification
Secondary lesions

thick-walled cavity of pus
abscess
Secondary lesions

thinning of epidermis, dermis, or subcutaneous fat
atrophy
3 signs of epidermal involvement
1. scale: psoriasiform eczematous, icthyotic

2. increase in brown, grey, or black

3. decrease in brown, gray, or black
Edema
Red or violaceous pigmentation
Telangectasias
Blue, green, or yellow pigmentation

where is the lesion?

What if red pigmentation blanches?

doesn't blanch?
dermis

blanching --> erythema (intravascular pathology)

non-blanching = purpura (extravasation of blood components)
Poorly demarcated border
Fixed to underlying tissue

where is the lesion
subcutis
Category based on clinical appearance

papules coalescing into plaques, with scale
papulo-squamous
Category based on clinical appearance

Erythema and scale over most or all body surface area
erythrodermic
Category based on clinical appearance

fish-like scale on skin
ichthyosiform
Category based on clinical appearance

vesicles and bullae on skin
vesico-bullous
Category based on clinical appearance

Pustules on skin
Pustular
Category based on clinical appearance

Discrete, scarred papules or plaques, may be atrophic
sclerotic
Category based on clinical appearance

Discrete macules with loss of pigment
Hypomelanosis, circumscribed
Category based on clinical appearance

Discrete areas with increased pigment
hypermelanosis, circumscribed
Category based on clinical appearance

Increased pigmentation diffusely
Hypermelanosis, diffuse
Category based on clinical appearance

Nodules with no surrounding inflammatory rxn
Nodules w/o inflamm
Category based on clinical appearance

nodules with surrounding inflamm rxn
nodular w/inflamm
Category based on clinical appearance

blood extravasated in skin w/o surrounding inflammation

blood extravastaed in skin w/ inflammation
a. purpura w/o inflammation

b. purpura w/inflammation
Category based on clinical appearance

papules, nodules, and/or plaques with ulceration within
nodulo-ulcerative
Category based on clinical appearance

Palms and soles
palms and soles