Macule a small patch of skin that is altered in colour but is not elevated. A papule is a circumscribed, solid elevation of skin with no visible fluid, varying in area from a pinhead to 1 cm. All told, there are four types of skin cancer or precancer, each with its own characteristics appearance. The elevation may be accounted for by metabolic deposits, infiltrates, or hyperplasia of cellular elements, etc. Maculopapular rash may be mistakenly called macule, papule, patch, nodule, plaque, vesicle, or pustule. This file is licensed under the creative commons attributionshare alike 3. A plaque is an elevation of the skin that is usually flat and wider than it is tall. Large macule 1 cm, also used to describe large macule with scale. That is, with your eyes closed, you cannot discern a boundary to the lesional area.
Primary lesions macule patch papule plaque nodule tumor vesicle bulla pustule cyst secondary lesions scale crust excoriation lichenification maceration fissure erosion ulcer distinct lesions whealhive burrow. A macule that is more than one centimeter in size is known as a patch. Examples include freckles, flat moles, tattoos, and portwine stains, and the rashes of rickettsial infections, rubella, measles can also have papules and plaques, and some allergic drug eruptions. The learningallthatnewdermatologyterminology selfquiz.
As a verb macule is printing to blur or be blurred. Macule, papule, patch, plaque, vesicle, bulla, and others. A macule is a flat blemish or discoloration that measures less than 1 cm. Description of skin lesions dermatologic disorders. Primary lesions macule patch papule plaque nodule tumor vesicle bulla pustule cyst secondary lesions scale crust excoriation lichenification maceration fissure erosion ulcer distinct lesions whealhive burrow comedone atrophy keloid fibrosis petechiae. The reason plaque forms isnt entirely known, but it seems to be related to high levels of cholesterol inducing an inflammatory response, which can also attract and trap more cellular debris over time.
If it is macular, you cannot feel the involved area. You may do so in any reasonable manner, but not in. Mass located in dermis or subcutaneous fat may be solid or soft 6. Mar, 2020 a primary lesion is a change in the skin that is caused by a certain disease or infection. Description of skin lesions dermatologic disorders msd manual. The skin surface is neither elevated or depressed in relation to the surrounding skin. According to rdh magazine, this common oral condition is present in 3 percent of the general population and is caused by a. May evolve from primary lesions or may be caused by external f.
A discrete, solid, elevated body usually less than or equal to 0. Description of skin lesions merck manuals professional edition. A macule is not, in and of itself, a sign of skin cancer. Macule,papule, vesicle, pustule, plaque terminology of skin lesions according to morphology of lesion as shown in the table lets go in to a bit. Started in 1995, this collection now contains 6767 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Rest of the characteristics are same as those of a macule. While a macule may have an appearance suggestive of cancer, further tests would be needed to confirm or exclude a diagnosis.
Apr 24, 2015 macule,papule, vesicle, pustule, plaque terminology of skin lesions according to morphology of lesion as shown in the table lets go in to a bit detail divided in to 4 groups 1. Bulla large vesicle blisters if epidermal layer completely sloughed off wheal firm and edematous plaque edema of the dermis other. Combining the two terms, a maculopapular rash is as a smooth skin rash or redness covered by elevated bumps 1, 2, 3. Plaque a large papule or group of them, usually greater than 10 mm, or a large raised plateaulike lesion. Nov 26, 2019 a macule is a flat, distinct, discolored area of skin less than 1 centimeter cm wide. Nonbullous impetigo is the more common variety, characterized first by a red macule or papule 25 mm in size that turns into a fragile vesicle that ruptures to become a honeyyellow crusted papule or plaque. Hello everyone, today we will discuss functions of skin different morphological skin lesions i. Patches may have some subtle surface change, such as a fine scale or wrinkling, but although the consistency of the surface is changed, the lesion itself is not palpable. Primary lesions macule patch papule plaque nodule tumor vesicle bulla pustule cyst. This macule, plaque, or patch of diseased integument is in its typical features.
June is a 33 year old female presenting with painful urination, it burns like crazy when i pee, i had to pee in the bath this morning because it hurts so much when the pee touches. They may open when scratched and become infected and crusty. Macules are circumscribed alterations in skin color. Macules represent a change in color and are not raised or depressed compared to the skin surface. Illdefined macule on the abdomen mdedge dermatology. A macule is a flat lesion smaller than 1 cm and a patch is a flat lesion larger than 1 cm.
Due to the uncertain diagnostic appearance, a punch biopsy was performed. Macule is just a word that doctors use to describe what they see on the skin. Physical changes in the skin considered to be caused directly. Define macule patch papule plaque nodule cyst vesicle bullae pustule lichenification erythema purpura. Definition chv a patch of skin that is discolored but not usually elevated. Maculopapular rash pictures, causes, diagnosis 2020. Oct 24, 2008 define macule patch papule plaque nodule cyst vesicle bullae pustule lichenification erythema purpura categories. Papule a small, solid lesion, macule, which is a noncancerous dark patch on the skin called hyperpigmentation of a mucous membrane. Patch large macule flat nonpalpable colored area plaque superficially raised, circumscribed solid area. A common example is the eosinophilc plaque seen in some cats with allergic skin disease.
As nouns the difference between macule and papule is that macule is a spot while papule is a small, inflammatory, irritated spot on skin. Several features characterize a macule and differentiate it from other types of skin abnormalities. It can be brown, purple, pink or red in color, and can cluster into a papular rash. Larger nonblisterform elevated lesions may be termed nodules. Macule definition chv a patch of skin that is discolored but not usually elevated. Define macule patch papule plaque nodule cyst vesicle. Patches are generally larger than one cm, while a macule is typically smaller than one cm. To differentiate these skin lesions from each other, here are the pictures of each. Nodules macule and patch papule and plaque ulcers, fissures, and erosions vesicles and bulla licensing. According to rdh magazine, this common oral condition is present in 3 percent of the general population and is caused by a localized increase in the production of pigment. This dark area could be a melanotic macule, which is a noncancerous dark patch on the skin called hyperpigmentation of a mucous membrane. Functions of skin macule patch papule plaque nodule. Define macule patch papule plaque nodule cyst vesicle bullae pustule lichenification erythema purpura categories. What is the shape of this 3 cm lesion which because it is large, elevated and not deep is a plaque, quite different from the plaque in slide one but still a plaque.
A papule is as elevated lesion measuring less than 1 cm. Dermatology harriet lane handbook unbound medicine. Papules may open when scratched and become infected and crusty. Click to zoom plaque on the forelimb of a dog with dermatophytosis. There are several different types, including the macule, papule, vesicle, plaque, bulla, patch, tumor, wheal, nodule, and pustule.
Secondary lesion modification of a primary lesion that results from evolution of the. These can result from edema wheals, coalescence of adjacent papules, or be of neoplastic origin. Solid lesions can be described as either a papule, plaque, nodule, or wheal. 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 patch is a large macule equal to or greater than either 5 or 10 mm across, depending on ones definition of a macule. In bullous impetigo, bacterial exotoxins cause a loss of cell adhesion in the superficial dermis. Nodules similar to a papule raised area with no fluid. Papule is a solid, elevated lesion with no visible fluid which may be up to. A 38yearold woman presented with an asymptomatic lesion on the abdomen. It doesnt involve any change in the thickness or texture of the skin. Primary skin lesions macule patch papule plaque nodule vesicle bulla pustule abscess wheal cyst.
Pustules are well circumscribed elevations of the superficial layers of the epidermis. Typical flattopped papules on volar wrists in lichen planus. Oct 10, 2019 macule thirdperson singular simple present macules, present participle maculing, simple past and past participle maculed to blur or be blurred. Synonyms for macule at with free online thesaurus, antonyms, and definitions. Fundamentals of dermatology describing rashes and lesions. Papule definition is a small solid usually conical elevation of the skin. If the lesion is flat, then it will be either a macule or patch. Chigger bites on human skin showing characteristic welts. Large macule 1 cm, also used to describe large macule with scale 3. Patch a larger macule 10mm papule a welldefined raised area with no visible fluid, usually less than 10 mm. Macule, papule, patch, plaque, vesicle, bulla, and others secondary lesion modification of a primary lesion that results from evolution of the primary lesion, traumatic injury, or other external factors.
Papules can be brown, purple, pink or red in color, and can cluster into a papular rash. If you have a skin lesion or many that is flat and less than 1 cm in size, and want to find out whats. Description of skin lesions dermatologic disorders merck. Dermatology answers are found in the harriet lane handbook powered by unbound medicine. These are really variations of papules, nodules or plaques that are evanescent. Patch a large area of colour change, with a smooth surface.
Examples include freckles, flat moles, tattoos, and portwine stains, and the rashes of rickettsial infections, rubella, measles can also have papules and plaques. A patch is a primary lesion that is similar to the macule, but takes up a bigger area of the skin. A papule is a spot of skin which is solid, raised and flat. Mar 26, 2020 a dermatologist can provide more information about a specific macule, including access to diagnostic testing if there is a concern that the spot is a sign of an underlying medical issue. A papule which measures more than a centimeter is called a plaque, other characteristics of papule and plaque being the same. Without knowing exactly what you have it is very difficult to know the actual frequency, but numerous individuals present with rashes of differing nature. Papule a small solid elevation of the skin less than 1 cm in diameter. Black skin lesions may be melanocytic, including nevi and melanoma. Click to zoom diffuse papular eruption the ventrum of a dog with dermatophytosis. A papule, a bulla, and a vesicle are all small, raised lesions on top of the skin.
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