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CUTANEOUS

SYMPTOMATOLOGY
Seborrheic Keratosis Melanoma
- palpable with distinct borders - flat with indistinct borders
- color and size changes over time
Infestation (Scabies/Pediculosis)

- Scabies infestation has predilection over the webs


of the fingers
Dermatitis Herpetiformis
Bullous Pemphigoid
Cholinergic Urticaria

- Presents with transient wheals/hives


Hyperpigmentation

Fixed Drug Eruption


Hypopigmentation
Hypopigmentation
Vitiligo

- No pigmentation (Ivory white color)


Guttate Hypomelanosis
ERYTHEMA

Sunburn
Lupus Erythematosus

- Malar rash
Exfoliative Erythroderma
Oily Skin
DRY SKIN
Hyperhidrosis
Scaly skin – Dermatophyte infection
Pityriasis rosea
Scar
Alopecia areata
Oil spots

Onycholysis
Nail Pitting
Onychodystrophy
Nail Splitting (?)
Beau’s Line
PRIMARY LESIONS
Macule (Freckle, Ephelid)
Papule: Syringoma: benign neoplasm involving the sweat gland, usually in
the upper eyelid, familial tendencies
Plaques: could be Psoriasis
Nodules: Trichoepithelioma: benign neoplasm involving the hair follicle;
multiple small nodules on face
Vesicles
if grouped  think Herpes simplex
if dermatomal  think Herpes zoster
Bullae
if multiple  think drug reaction
if solitary  think burn
Pustule (present in Pustular Psoriasis)
SECONDARY LESIONS
Telangiectasia: fine, red lines due to sun exposure
Scales
Impetigo: crusting, yellow, friable
Verucca vulgaris (warts)
Open Comedone: blackhead – oxidized fat
Urticaria: wheal, hives
Psoriasis
DIAGNOSING LESIONS
(things we look for)
CONFIGURATION (Tinea Circinata)
TYPE / SHAPE (Molluscun Contagiosum: pearlike, umbilicated nodule)
ARRANGEMENT (linear – left ; grouped/localized – right)
PATTERN / COLOR (Vitiligo: whitening of fingers not a good prognosis)
PATTERN / COLOR (? Tinea: erythematous borders, white centrally)
LOCATION (Eyelid: eyelid infestation by lice, Tx: oil)
This trans was made by Class 2010 and brought to you by group
typo eroor (Kat, Mayou, Kor, Denver) 

ONSE, SWABE! 