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Macroscopic lesions | Definitions |
Excoriation | Traumatic lesion breaking the epidermis and causing a raw linear area (i.e., deep scratch); often self-induced |
Lichenification | Thickened, rough skin (similar to a lichen on a rock); usually the result of repeated rubbing |
Macule, Patch | Circumscribed, flat lesion distinguished from surrounding skin by color. Macules are 5 mm in diameter or less, patches are greater than 5 mm. |
Onycholysis | Separation of nail plate from nail bed |
Papule, Nodule | Elevated dome-shaped or flat-topped lesion. Papules are 5 mm or less across, while nodules are greater than 5 mm in size. |
Plaque | Elevated flat-topped lesion, usually greater than 5 mm across (may be caused by coalescent papules) |
Pustule | Discrete, pus-filled, raised lesion |
Scale | Dry, horny, platelike excrescence; usually the result of imperfect cornification |
Vesicle, Bulla, Blister | Fluid-filled raised lesion 5 mm or less across (vesicle) or greater than 5 mm across (bulla). Blister is the common term for either. |
Wheal | Itchy, transient, elevated lesion with variable blanching and erythema formed as the result of dermal edema |