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Skin. The object of this presentation is to learn and identify skin lesions. Describe the patient’s skin. Normal Skin. Color: brown Normal hair No lesions Feel for texture, turgor, moisture and warmth. Describe the lesion. Normal Mole. Tan to brown color Uniformly pigmented
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Skin The object of this presentation is to learn and identify skin lesions.
Normal Skin • Color: brown • Normal hair • No lesions • Feel for texture, turgor, moisture and warmth.
Normal Mole • Tan to brown color • Uniformly pigmented • Small (usually less than 6 mm across) • Solid regions of relatively flat (macules) to elevated skin (papules) • Well-defined, rounded borders
Chronic ITP Hyperpigmentation
Campbell’s Morgan Spots Cherry angiomas are: • Bright red in color • Small (usually 1-4 mm) • Papules • Commonly seen on the trunk of adults • Medically insignificant
Hodgkin’s Disease • Dry • Scaly
Senile Purpura • Red in color • Patchy • Does not blanch on pressure • Thin skin
Steroid Induced Purpura • Red • Patchy • Does not blanch on pressure
Schonlein-Henoch Purpura • Ankle location • Multiple • Red • Not blanching on pressure • Less than 5 mm • Vasculitis
Henoch-Schonlein Purpura • Multiple • Red • Not blanching on pressure • Less than 5 mm • Vasculitis
Echymosis • Red • Large patch • Irregular edge • Changing colors • Coagulation defect
Vasculitis • Multiple • Red • Not blanching on pressure • Less than 5 mm • Coalescing • Drug induced vasculitis
Leukemia Cutis • Ulcerating lesions • Black base • Sharp edges • Surrounding echymoses • Blister • 1 cm • Fluid filled
Kaposi Sarcoma • Non-blanching red macule • Surrounding ecchymoses and acquire more of a violet hue • Lesions may become nodular
Malignant Melanoma A: Asymmetry- one side or half does not look like the other B: Border irregularity C: Color-black, or much darker than patient's other moles, often with red, white or blue areas. D: Diameter > 6 millimeters
Sarcoidosis • Patchy • O.5-1 cm in size • Different color than skin • Slightly elevated Maculo-papular lesions
Sarcoidosis • Multiple • Less than 1 cm • Raised spot • Dome shaped Papular lesions
Sickle Cell Anemia • Over ankle • Patch • Larger than 1 cm • Thin skin • Loss of substance of skin Old scar
Normal Nails • Transluscent • Shiny • Appears firm
Doxorubicin • Transverse band • White in color
Iron Deficiency Anemia • Spooning • Concave Koilonychia
Ehler’s Danlos Syndrome • Patchy • Larger than 1 cm • Thin skin • Loss of substance of skin Old widened scar
Gardner Diamond Syndrome • Multiple • Leniar wide • Thin skin Striae
Squamous Cell Carcinoma • Ulcer • Ear lobe • Crusted lesion • Sharp margin • Indurated
Keloid (after piercing) • Very firm • Rubbery lesions • Reddish or darkly colored • Occurs after trauma (sometimes very minor trauma) • May itch