Skin Anatomy and Lesions Overview
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Skin Anatomy and Lesions Overview

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@IdolizedCliché

Questions and Answers

What is a comedo?

  • A loss of hair from the skin
  • An accumulation of dried exudate on the skin
  • An area of fibrous tissue replacing damaged dermis
  • A dilated hair follicle filled with cornified cells and sebaceous material (correct)
  • Which of the following describes hypertrichosis?

  • More hair than normal (correct)
  • Loss of hair
  • Excessive shedding of hair
  • Less hair than normal
  • What is the main characteristic of an ulcer?

  • A break in the epidermis exposing the underlying dermis (correct)
  • Thickened skin with exaggerated superficial markings
  • A circular rim of keratin flakes on the skin surface
  • An accumulation of flakes or dandruff on the skin
  • Which term refers to a decrease in skin pigmentation?

    <p>Hypopigmentation</p> Signup and view all the answers

    What condition is characterized by a thickening and hardening of the skin?

    <p>Lichenification</p> Signup and view all the answers

    Which type of lesion involves erosions caused by scratching or biting?

    <p>Excoriation</p> Signup and view all the answers

    What are primary lesions?

    <p>Lesions that are the direct result of the underlying disease process.</p> Signup and view all the answers

    What is the primary cause of leukoderma?

    <p>Decreased pigmentation of the skin</p> Signup and view all the answers

    Which factor does NOT affect melanin pigment production?

    <p>Vasodilation</p> Signup and view all the answers

    Which of the following describes a macule?

    <p>An area of altered skin color, up to 1 cm.</p> Signup and view all the answers

    What characterizes a vesicle?

    <p>An elevation filled with clear fluid, less than 1 cm in diameter.</p> Signup and view all the answers

    Which of the following is true about secondary lesions?

    <p>They evolve from primary lesions.</p> Signup and view all the answers

    What type of lesion is a wheal?

    <p>A sharply circumscribed elevation caused by dermal edema.</p> Signup and view all the answers

    Which lesion is defined as a hardened solid elevation of the skin that usually extends deeper?

    <p>Nodule</p> Signup and view all the answers

    Which of these statements correctly describes a pustule?

    <p>A small circumscribed elevation filled with pus.</p> Signup and view all the answers

    What defines a tumor in the context of skin lesions?

    <p>A large mass that may involve any structures of the skin.</p> Signup and view all the answers

    Study Notes

    Factors Causing Skin Injury

    • External (exogenous) factors include environmental influences.
    • Internal (endogenous) factors arise from within the body.

    Types of Skin Lesions

    • Primary lesions: Direct results of disease, crucial for diagnosis.
    • Secondary lesions: Evolve from primary lesions, usually less diagnostically significant.

    Primary Skin Lesions

    • Macule: Discolored area, ≤ 1 cm; example: lentigo, a benign hyperpigmentation.
    • Papule: Small, round, solid elevation, ≤ 1 cm in size.
    • Plaque: Larger, flat-topped solid elevation of the skin.
    • Nodule: Hard elevation, ≥ 1 cm, extends into deeper skin layers.
    • Vesicle: Circumscribed elevation of < 1 cm filled with clear fluid.
    • Bulla: Larger vesicle (> 1 cm) containing fluid within the epidermis.
    • Tumor: Large mass implicating neoplasia, affecting skin or subcutis.
    • Cyst: Epithelial-lined cavity with fluid or solid material.
    • Pustule: Small, pus-filled elevation of the epidermis.
    • Abscess: Accumulation of pus within epidermis or hair follicle.
    • Wheal: Smooth, well-defined elevation from dermal edema, commonly seen in allergic reactions.

    Secondary Skin Lesions

    • Scale: Accumulation of flakes or dandruff on the skin surface.
    • Crust: Dried exudate, blood, or serum accumulation.
    • Comedo: Dilated hair follicle filled with cornified cells; often seen in conditions like hyperadrenocorticism.

    Hair Abnormalities

    • Alopecia: Loss of hair.
    • Hypotrichosis: Less hair than normal.
    • Atrichia: Absence of hair due to failure of development.
    • Effluvium/defluxion: Excessive shedding.
    • Hypertrichosis (hirsutism): More hair than usual; can be due to endocrine disorders.

    Epidermal Pigmentation Alterations

    • Hyperpigmentation: Increased melanin production, often due to inflammation or genetics.
    • Hypopigmentation: Reduced melanin, can be congenital or due to melanocyte dysfunction.
    • Pigmentation incontinence: Loss of melanin from the basal epidermis.

    Secondary Lesion Characteristics

    • Epidermal collarette: Circular rim of keratin flakes after vesicle/pustule loss.
    • Ulcer: Break in the epidermis, exposing underlying dermis.
    • Excoriation: Erosions or ulcers from scratching or trauma.
    • Scar: Fibrous tissue replacing damaged skin.
    • Fissure: Linear cracks in thickened, inelastic skin.
    • Lichenification: Thickening and hardening of skin with visible superficial markings.

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    Description

    Explore the various portals of entry into the skin and understand the factors that can cause skin injury. This quiz delves into the gross morphology of skin lesions, distinguishing between primary and secondary lesions. Gain insight into the relationship between skin lesions and underlying disease processes.

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