Table 105.1Types of Skin Lesions

Primary lesions
Macule: a sharply circumscribed area showing alterations of color, not appreciably elevated or depressed.
Papule: a well-defined elevated lesion of the skin up to 5 mm in diameter.
Nodule: solid lesion of the skin or subcutaneous tissue over 5 mm in diameter.
Tumor: a large nodule. When a nodule is more than 2 or 3 cm in diameter, it is usually called a tumor.
Vesicle (blister): a sharply demarcated, elevated, fluid-containing lesion of the skin, usually less than 6 mm in diameter.
Bulla: a larger vesicle.
Pustule: a small, usually less than 5 mm, fluid-filled lesion of the skin that contains pus.
Wheal (hive, urtica, or welt): an evanescent, elevated, red lesion of the skin.
Petechia: a less than 5 mm diameter macule resulting from a deposition of blood into the skin. The term purpura is at times used for lesions of this type that are somewhat larger, which may also be palpable.
Ecchymosis: A larger area of discolored skin resulting from bleeding into the skin.
Telangiectasis: visibly dilated, superficial, cutaneous blood vessels.
Comedo (white or blackhead): a white, gray, or black noninflammatory plug in the follicle.
Burrow: a tunnel, tract, or passage in the skin made by such parasites as the mite of scabies and the larvae of larva migrans.
Cyst: a noninflammatory collection of fluid or semisolid material surrounded by a well-defined wall.
Secondary or consecutive skin lesions
Scale: this represents dry exfoliation.
Crust (scab): a collection of epidermal debris, serum, pus, etc., dried together to form a hard mass and overlying an area of epithelial injury.
Fissure: a crack in the skin.
Erosion: a superficial loss of epithelium that heals without a scar formation.
Ulcer: the loss of the entire epithelium that may heal with scar formation.
Atrophy: a disappearance, or "wasting," of tissues or parts of tissues.
Excoriation (scratch mark): a linear area of injury resulting from scratching.
Scar: a fibrotic residual of a previous inflammatory process.

From: Chapter 105, Skin

Cover of Clinical Methods
Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition.
Walker HK, Hall WD, Hurst JW, editors.
Boston: Butterworths; 1990.
Copyright © 1990, Butterworth Publishers, a division of Reed Publishing.

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