Skin Lesion and it’s types
Skin Lesions are the anomalies or findings that are not normally seen in a normal individual and indicates towards some sort of underlying disease or pathology. Skin leasions can be found over the epidermis , dermis or mucosal surfaces anywhere in the whole body surface present in direct contact to external environment. These lesions can be divided into three categories :- 1. Primary Skin Lesions 2. Secondary Skin Lesions 3. Special Lesions 1. PRIMARY SKIN LESIONS :- These are the initial or non-modified lesions. These lesions can be furthur classified into – a) Flat , Non Palpable lesions ; when size is less than 1 cm then it’s called Macule if larger then it’s a patch. b) Circumscribed , solid , raised lesions ; when size is less than 1 cm then it’s called Papules , when larger than 1 cm it’s reffered as plaques , if the lesion also have depth in it then it’s named as a Nodule. c) Clear fluid filled lesion ; when size lesser than 1 cm it’s called as Vesicles and if larger then it’s called Bulla. d) Pus filled lesion ; when smaller called as Pustule , if larger and deeper then called An Abscess. e) RBC extravasation over (Skin or Membrane). If less than 2 mm called as Petechiae , if between 2 mm to 1 cm named as Purpura , if larger then named as Echymoses . f) Wheal ; is the term given to itchy , erythematous ,Transient evanescent plaque . 2. SECONDARY SKIN LESIONS :- When the primary lesion gets modified either by Treatment , Scratching or evolution of diseases. a) Scale ; visible exfoliation of stratum corneum b) Crust ; Dried exudate such as Pus / Blood / Serum on skin surface c) Erosion ; Focal or Complete loss of epidermis. d) Ulcer ; Loss of epidermis alongside partial or total loss of dermis and Molecular Death of the involved layers. e) Fissure ; Linear deep clefts or Cracks on the skin. 3. SPECIAL SKIN LESIONS :- These are lesion seen only in certain kind of disease or disorders . a) Target Lesion – seen in case of Erythema Multiforme . b) Burrows – these are seen in individuals infected by Scabies as the parasite creates these burrows and serpigenous tunnels as their habitat over the skin.