Dermatology lingo

Frage	Antworten
Questions to ask a patient who presents with a skin condition:	Time course: Acute (<2 weeks) or chronic? Patient well or unwell. Details of rash/lesion. Distribution? How/where did it start? Precipitating factors? Medications? Allergies? What has the patient tried on it already?
Lesion	Single area of altered skin, may be single or multiple.
Rash	Widespread eruption of lesions.
Primary lesions	Primary lesions: Changes in the skin which occur as consequence of the disease process.
Macule	Change in colour of area of skin <1.5 cm in diameter.
Patch	Change in colour of area of skin >1.5 cm in diameter.
Maculo-papular	(Maculo-papular: Rash in which there is a mix of macules and papules, often seen in viral illnesses).
Papule	Papule; A solid raised palpable lesion <0.5 cm in diameter.
Plaque	Plaque: Palpable flat lesion >0.5cm in diameter.
Nodule	Nodule: Solid raised lesion >0,5 cm in height, width and length.
Cyst	Cyst: Papule or nodule which contains fluid
Vesicle	Vesicle: Fluid filled blister <0.5 cm in diameter.
Bulla	Bulla: Fluid filled blister >0.5 cm in diameter (may have multiple compartments).
Pustule	Pustule: Pus filled vesicle
Weal/wheal	Weal/wheal: An oedematous papule or plaque, caused by swelling in the dermis.
Secondary change	Secondary change: Changes in skin that may evolve from a primary lesion or caused by trauma or healing.
Excoriation	Excoriation: Marks/abrasions on the skin due to scratching.
Crusting	Crusting: Drying of plasma or exudate on skin.
Fissuring	Fissuring: Cracking of epidermis due to excessive dryness.
Lichenification	Lichenification: Palpable thickening of epidermis with exaggeration of normal skin lines usually due to repeated rubbing.
Ulceration	Ulceration: Full thickness loss of epidermis, slow to heal and leaves scar.
Erosion	Erosion: Shallow loss of epidermal layer, heals without scar.
Scar	Scar: Permanent fibrosis in skin following damage to dermis.
Annular	Annular: Lesions arrange in a ring.
Clustered	Clustered: Lesions that are grouped together.
Discoid	Discoid: Coin-shaped lesions (aka nummular).
Reticular	Reticular: A lace-like pattern.
Follicular	Follicular: Arising from hair follicles
Target lesions	Target lesions: Concentric rings which look like a dart-board.
Serpiginous	Serpiginous: Shaped like a snake
Dermatomal	Dermatomal: Confined to a nerve root distribution
Flexural	Flexural: Affecting the skin fold (intertrigonal).
Confluent	Confluent: Joining together.
Desquamation	Desquamation: Peeling skin.
Ecchymoses	Ecchymoses: Large bruises.
Erythematous	Erythematous: Red skin due to increased blood supply.
Herpetiform	Herpetiform: Looks like a herpes infection with grouped vesicles
Koebner phenomenon	Koebner phenomenon: Tendency for skin conditions to affect injured areas of the skin.
Morbilliform	Morbilliform: A rash which looks like measles- multiple small red macules up to 10 mm in size, may be confluent in some areas
Purpura	Purpura: discoloured areas of skin or mucous membrane (>2mm) due to haemorrhage from small blood vessels.
Petechiae	Petechiae: Purpuric lesions <2mm in size. Both purpura and petechiae are non-blanching
Pedunculated	Pedunculated: A lesion on a stalk.
Scale	Scale: Flakes of compacted dead skin cells.
Sessile	Sessile: A lesion that appears to be stuck to the skin surface, without a stalk.
Should comment on these features of Pigmented lesions	Pigmented lesions: Comment on size, uniformity of colour, regularity of margins and raised/thickened or not.

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	Erstellt von Ashutosh Kumar vor fast 8 Jahre