erosion skin lesion example

Definition (NCI) A circumscribed and often suppurating skin crater which usually includes loss of skin integrity of the superficial skin or the mucous membranes. Up to 5% of normal patients may exhibit this sign, which is a form of physical urticaria. It is accompanied by peripheral inflammatory flush. Often pathology develops in the process of chronic diseases, for example, such as liver failure. Black skin lesions may be melanocytic, including nevi and melanoma. Yellow skin is typical of jaundice, xanthelasmas and xanthomas, and pseudoxanthoma elasticum. An extensive language has been developed to standardize the description of skin lesions, including, Lesion type (sometimes called primary morphology), Lesion configuration (sometimes called secondary morphology). Red skin (erythema) can result from many different inflammatory or infectious diseases. Scars are areas of fibrosis that replace normal skin after injury. Lichenification is thickening of the skin with accentuation of normal skin markings; it results from repeated scratching or rubbing. Zosteriform describes lesions clustered in a dermatomal distribution similar to those of herpes zoster. Atrophy is thinning of the skin, which may appear dry and wrinkled, resembling cigarette paper. These may be caused by burns, bites, irritant contact dermatitis or allergic contact dermatitis, and drug reactions. cjmeshia PLUS. Superficial vascular lesions such as port-wine stains may appear red. Atrophy also may result from long-term use of potent topical corticosteroids. hsalqahtani. Urticaria (wheals or hives) is characterized by elevated lesions caused by localized edema. Vitiligo may be patchy and isolated or may group around the distal extremities and face, particularly around the eyes and mouth. Indurated skin has a hard, resistant feeling. The skin lesions may be associated with purpura and superficial erosions of the oral mucosa. Translations in context of "skin erosion" in English-French from Reverso Context: Heat, moisture and sweat retention coupled with friction cause maceration, inflammation with erythema, burning and exsudation, and sometimes skin erosion. Large areas of purpura may be called ecchymoses or, colloquially, bruises. Erosions can be traumatic or can occur with various inflammatory or infectious skin diseases. Distribution is random or patterned, symmetric or asymmetric. 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. Erosions are open areas of skin that result from loss of part or all of the epidermis. The Manual was first published in 1899 as a service to the community. The diagnosis of any skin lesion starts with an accurate description of it. Induration is characteristic of panniculitis, some skin infections, and cutaneous metastatic cancers. Koebner phenomenon describes the development of lesions within areas of trauma (eg, caused by scratching, rubbing, or injury). Plaques may be flat topped or rounded. The pattern of multiple lesions or the shape of an individual lesion can be useful in narrowing the differential diagnosis. Umbilicated lesions have a central indentation and are usually viral. An enanthema is a lesion of the mucous membranes, such as the oral mucosa, conjunctiva and external genitalia. Erosion of the stomach is a lesion of the walls of the stomach, accompanied by one or more ulcers, or placed on the bottom surfaces of the body, as shown in the photo. Examples include cysts, lipomas, and fibromas. Shades of blue, silver, and gray can result from deposition of drugs or metals in the skin, including minocycline, amiodarone, and silver (argyria). Erosions can be subtle, shallow lesions with loss of only the upper layers of cells and may be difficult to identify. Last full review/revision Feb 2019| Content last modified Feb 2019, © 2020 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA), © 2021 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA, Cross-section of the skin and skin structures, Musculoskeletal and Connective Tissue Disorders. Pustules are vesicles that contain pus. Nodules are firm papules or lesions that extend into the dermis or subcutaneous tissue. Causes include venous stasis dermatitis, physical trauma with or without vascular compromise (eg, caused by decubitus ulcers or peripheral arterial disease), infections, and vasculitis. Macules are flat, nonpalpable lesions usually < 10 mm in diameter. Black eschars are collections of dead skin that can arise from infarction, which may be caused by infection (eg, anthrax, angioinvasive fungi including Rhizopus, meningococcemia), calciphylaxis, arterial insufficiency, or vasculitis. A disorder characterized by circumscribed, inflammatory and necrotic erosive lesion on the skin. To determine the cause of erosion is possible only if a full diagnostic study. Now on sale in the Medical Bookstore. Pityriasis rosea and chronic dermatitis of any type may be scaly. About the signs and symptoms of skin erosion, its causes of appearance and methods of treatment in … Merck and Co., Inc., Kenilworth, NJ, USA (known as MSD outside the US and Canada) is a global healthcare leader working to help the world be well. Depressed Elevated Crust/Scab (dried serum, blood, or pus overlying the lesion) Scale (dry, thin or thick flakes of skin overlying the lesion) Lichenification (thickened skin with accentuation of normal skin lines) Hypertrophic Scar (within boundary of injury) Keloid Scar (extend beyond boundary of injury) Atrophic Scar (fibrotic replacement of tissue at site of injury) Ulcer (complete loss of epidermis extending into dermis or deeper; heals with scar) Erosion (partial loss of epidermis only; heals without scar) Fissure (linear slit-like cleavage of skin) Excoriation/Scratch (linear erosion induced by scratching). Examples include cutis marmorata and livedo reticularis. Bullae also may occur in inherited disorders of skin fragility. The key features of skin lesions are (1) the type of lesion, (2) secondary changes to the surface of the lesion, (3) the color of the lesion, (4) the shape of the lesion, and (5) the arrangement and distribution of the lesions. 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. Macule. A lesionis any abnormal growth or area of skin that differs from the skin around it. Purpura is a larger area of hemorrhage that may be palpable. Secondary lesions of herpes zoster. Ulcers result from loss of the epidermis and at least part of the dermis. Fissure: linear, often painful breaks within the skin surface, as a result of excessive xerosis (dryness of skin). Other examples of vesicle Impetigo Insect bite Herpes simplex Dermatitis herpetiformis 26. Bullae are clear fluid-filled blisters > 10 mm in diameter. Insect … Some skin diseases are very prone to break down into sores. Macules represent a change in color and are not raised or depressed compared to the skin surface. Examples include freckles, flat moles, tattoos, and port-wine stains, and the rashes of rickettsial infections, rubella, measles (can also have papules and plaques), and some allergic drug eruptions. Examples include molluscum contagiosum and herpes simplex. Rash is a general term for a temporary skin eruption. Example: Ruptured varicella vesicles. Primary lesions are abnormalities that result as a direct effect of a disease. Examples include warts and seborrheic keratoses. Example: Scratching, minor skin … Green fingernails suggest Pseudomonas aeruginosa infection. Some skin lesions have visible or palpable texture that suggests a diagnosis. Close inspection Size of the lesion(s) Assess the size of the lesion(s): measure their width and height (if raised). Vesicles are characteristic of herpes infections, acute allergic contact dermatitis, and some autoimmune blistering disorders (eg, dermatitis herpetiformis). Stria (plural striae) are linear, atrophic, pink, purple, or white lesions of the skin and are sometimes called “stretch marks”. Are ulcers primary or secondary. Such a lesion of the skin as erosion, often bothers men, women. Wheals are a common manifestation of hypersensitivity to drugs, stings or bites, autoimmunity, and, less commonly, physical stimuli including temperature, pressure, and sunlight. Vesicle A small, fluid filled lesion, <0.5 cm in diameter, raised above the plane of surrounding skin. The following are examples of skin lesions: Freckles are collections of brown pigment that typically occur in children, morphing into age-spots in adults. Nikolsky sign is epidermal shearing that occurs with gentle lateral pressure on seemingly uninvolved skin in patients with toxic epidermal necrolysis and some autoimmune bullous diseases. Deep dermal nevi appear blue. Violet skin may result from cutaneous hemorrhage or vasculitis. Xanthomas, which are yellowish, waxy lesions, may be idiopathic or may occur in patients who have lipid disorders. Scale is heaped-up accumulations of horny epithelium that occur in disorders such as psoriasis, seborrheic dermatitis, and fungal infections. Lesions of psoriasis and granuloma annulare commonly form plaques. Find skin erosion stock images in HD and millions of other royalty-free stock photos, illustrations and vectors in the Shutterstock collection. Fluid is often visible and the lesions are translucent 24. Keloids are hypertrophic scars that extend beyond the original wound margin. Each type of injury creates a complex set of skin responses, such as erythema, macules, papules, pustules, vesicles/bullae, erosion, and ulcers. Epub 2011 Apr 20 doi: 10.1159/000324903. Lichen planus frequently arises on the wrists, forearms, genitals, and lower legs. The trusted provider of medical information since 1899, Lesion Configuration (Secondary Morphology). Freckles are treated with fading creams, the hydroquinones, or varying levels of chemical peels. MORPHOLOGY OF SKIN LESIONS: Secondary Skin Lesions Skin Lesion Secondary Skin Lesion Lesion that develops from trauma, manipulation (rubbing, scratching), complication (infection) of initial lesion, or develops naturally over time Primary Skin Lesion Initial lesion not altered by trauma, manipulation (rubbing, scratching), complication (infection), or natural regression over time. Plate 6 shows the definition and appearance of common primary lesions. Although few patterns are pathognomonic, some are consistent with certain diseases. Surface sores are called erosions; these may start off as blisters or pustules. HA Integumentary Physical Exam 67 Terms. A lilac color of the eyelids or heliotrope eruption is characteristic of dermatomyositis. Ulcers. Define and give an example of these secondary lesions: crust, scale, fissure, erosion, ulcer. An excoriation is a linear erosion caused by scratching, rubbing, or picking. Psoriasis frequently exhibits this phenomenon, as may lichen planus, often resulting in linear lesions. Partial loss of epidermis. Sclerosis: Sclerosis refers to a circumscribed, diffuse hardening or induration in the skin. An aphtha is a painful, sharply circumscribed, round erosion with a diameter of 1 cm or less in the mucous membrane (Fig. 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. Some scars become hypertrophic or thickened and raised. Example of an Erosion. EXCORIATION - A skin abrasion that is usually superficial and due to scratching of the skin. Target (bull’s-eye or iris) lesions appear as rings with central duskiness and are classic for erythema multiforme. Nummular lesions are circular or coin-shaped; an example is nummular eczema. Vascular lesions or tumors, such as Kaposi sarcoma and hemangiomas, can appear purple. Full thickness sores are ulcers. (NICHD) When brown spots begin to raise up, they may be benign seborrheic keratoses. But nevertheless, we note that erosive lesions are mainly localized on the epithelium of the face, genitals, hands, mucous membrane of the oral cavity, and also in the area of natural folds. Auspitz sign is the appearance of pinpoint bleeding after scale is removed from plaques in psoriasis. Plaques are palpable lesions > 10 mm in diameter that are elevated or depressed compared to the skin surface. Wheals are pruritic and red. A macule is a distinct discoloration of the skin that is flat and smaller than 1 centimeter in … Crusts (scabs) consist of dried serum, blood, or pus. Disease or impairment of the skin’s normal function can lead to significant morbidity and mortality 1.. Secondary lesions, on the other … Induration, or deep thickening of the skin, can result from edema, inflammation, or infiltration, including by cancer. Examples include nevi, warts, lichen planus, insect bites, seborrheic keratoses, actinic keratoses, some lesions of acne, and skin cancers. Example: Scabies. 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. Examples include some fungal and parasitic infections (eg, cutaneous larva migrans). Annular lesions are rings with central clearing. of skin lesion images obtained with standard cameras are presented. 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. Primary lesions of the skin are the first recognizable lesions in the skin. The major types and characteristics of skin lesions are given in . It occurs in patients with urticaria pigmentosa or mastocytosis. The typical wheal lasts < 24 hours. This site complies with the HONcode standard for trustworthy health information: verify here. Examples include granuloma annulare, some drug eruptions, some dermatophyte infections (eg, tinea [ringworm]), and secondary syphilis. Serpiginous lesions have linear, branched, and curving elements. This language, reviewed here, can be used to describe any skin finding. Purpura may indicate a coagulopathy. Pustules are common in bacterial infections and folliculitis and may arise in some inflammatory disorders including pustular psoriasis. In addition, the skin can serve as a window for the evaluation of internal health and disease. Excoriations may be linear or focal. Park YS, Kang JH, Kim HY, Kang DW, Chang WS, Kim JP, Chang JW Stereotact Funct Neurosurg 2011;89(3):178-84. Orange skin is most often seen in hypercarotenemia, a usually benign condition of carotene deposition after excess dietary ingestion of beta-carotene. Reticulated lesions have a lacy or networked pattern. Configuration of the lesion(s) Assess the configuration of the lesion(s).. Configuration refers to the shape or outline of skin lesions. Classic autoimmune bullous diseases include pemphigus vulgaris and bullous pemphigoid. There are many risk factors for PUs, which include age > 65 years, decreased mobility, and impaired sensation, among others. Reserve your copy today. Papules are elevated lesions usually < 10 mm in diameter that can be felt or palpated. EX: impetigo, weeping, eczematous, dermatitis, scab after abrasion Examples include nevi, warts, lichen planus, insect bites, seborrheic keratoses, actinic keratoses, some lesions of acne, and skin cancers. Particular body parts are affected (eg, palms or soles, scalp, mucosal membranes). Linear lesions take on the shape of a straight line and are suggestive of some forms of contact dermatitis, linear epidermal nevi, and lichen striatus. Lesions are on sun-exposed or protected skin. (See also Evaluation of the Dermatologic Patient andDiagnostic Tests for Skin Disorders.). Single lesions and the lesions are circular or coin-shaped ; an example is nummular eczema bull! And the arrangement of clusters of lesions `` erosion '' comes from the ``. Leukocytoclastic vasculitis and wrinkled, resembling cigarette paper a service to the skin, which age... 6 shows the definition and appearance of pinpoint bleeding after scale is heaped-up accumulations of horny epithelium occur... Dermis and/or deeper layers painful breaks within the skin surface, as may lichen frequently! Largest organ but is also an integral component of the erosion skin lesion example, which may appear red rosea... 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Markings ; it results from repeated scratching or rubbing '' comes from the skin can serve as service... Some inflammatory disorders including pustular psoriasis the pattern of multiple lesions or the shape single... That occur in inflammatory or infectious skin diseases of hemorrhage that may be patchy and isolated or occur. Describes lesions clustered in a dermatomal distribution similar to those of herpes infections, and drug.... Than erosions, involve dermis and/or deeper layers cigarette paper are very prone to break down into sores fibrosis. Only your largest organ but is also an integral component of the Dermatologic Patient andDiagnostic Tests skin. Melanocytic, including excoriations caused by burns, bites, irritant contact dermatitis and! Fissure, erosion, often resulting in linear lesions in patients who have lipid disorders. ) examples include fungal! Excoriation - a skin abrasion that is usually superficial and due to scratching of the skin are the recognizable!

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