Professional Documents
Culture Documents
The Koebner phenomenon, also called the isomorphic response, refers to the appearance of lesions along a site of injury. This
phenomenon is seen in a variety of conditions; for example, lichen planus, warts, molluscum contagiosum, psoriasis, lichen nitidus,
and the systemic form of juvenile rheumatoid arthritis.
34. LINEAR LESIONS
Linear lesions occur in a line or band-like configuration. This descriptive term may apply to a wide variety of disorders. (One should
be certain that the lesions are not following a dermatome.)
35. MULTIFORM
Patients with multiform lesions have lesions of a variety of shapes.
36. RETICULAR
Reticular or net-like lesions can be seen in a variety of circumstances; e.g., very commonly in newborns (or even grown children and
adults) as cutis marmorata, or with livedo reticularis. The former fades as the skin is warmed the latter becomes more florid.
37. SERPIGINOUS
Serpiginous lesions wander as though following the track of a snake.
38. UNIVERSALIS
Universalis refers to a widespread disorder that affects the entire skin.
39. SCARLATINIFORM
Scarlatiniform rashes have the pattern of scarlet fever. The patient with a scarlatiniform rash has innumerable small red papules that
are widely and diffusely distributed. Note that the term scarlatiniform does not mean that the patient has scarlet fever, although by
definition all patients with scarlet fever have a scarlatiniform rash. Patients with a variety of other conditions such as Kawasaki
disease, viral infections, or drug reactions may have rashes with the same pattern.
40. STRAWBERRY TONGUE
Patients with scarlet fever, Kawasaki disease or other conditions may develop a distinctive appearance of their tongues. Because of its
resemblance to the well-known berry, the appearance is called "strawberry tongue."
41. MORBILLIFORM
The term "morbilliform" means that the patient has a rash that looks like measles. Patients with measles will have the rash but patients
with Kawasaki disease, drug reactions, or other conditions may also have a morbilliform rash. The rash consists of macular lesions
that are red and are usually 2-10 mm in diameter but may be confluent in places.
42. SATELLITE LESIONS
The term is commonly used to describe a portion of the rash of cutaneous candidiasis in which a beefy red plaque may be found
surrounded by numerous, smaller red macules located adjacent to the body of the main lesions.
43. PATTERNS OF INTENTIONAL OR UNINTENTIONAL INJURY
One important category of skin lesions involve the form that skin lesions may take in cases of child abuse or other intentional injury
(bite marks, slap marks, strap marks, burns, etc.) or in cases of unintentional injury. Abrasions are traumatically caused erosions.