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what are primary and secondary skin lesions

by Chesley West Published 2 years ago Updated 2 years ago
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There are two types of skin lesions: primary and secondary. Primary skin lesions are changes in color or texture that are generally present at birth or acquired over time, such as a birthmark or an age spot. Secondary skin lesions are a progression of primary skin lesions.

Primary skin lesions are present at the onset of a disease. In contrast, secondary skin lesions result from changes over time caused by disease progression, manipulation (scratching, picking, rubbing), or treatment.

Full Answer

What is an example of a primary skin lesion?

  • Blisters. Small blisters are also called vesicles.
  • Macule. Examples of macules are freckles and flat moles.
  • Nodule. This is a solid, raised skin lesion.
  • Papule. A papule is a raised lesion, and most papules develop with many other papules.
  • Pustule.
  • Rash.
  • Wheals.

What causes easy bruising and lesions on skin?

What to know about bruising easily

  • Causes. As a person ages, they tend to bruise more easily. ...
  • When to see a doctor. A person should consult a doctor if they begin bruising more easily than before. ...
  • Outlook. In most cases, easy bruising is a minor inconvenience that is due either to genetic factors or a minor medical condition.

What are benign lesions?

What Are Liver Lesions?

  • Benign Liver Lesions. These are masses that form in the liver and don't typically cause health problems. They are noncancerous and relatively common.
  • Malignant Liver Lesions. Although most are benign, some liver lesions are cancerous. ...
  • A Word From Verywell. Liver lesions are usually nothing to worry about. ...

What is a primary lesion?

Primary lesions. Primary lesions are those lesions that arise de novo and are therefore the most characteristic of the desease process. Bulla: a circumscribed, elevated fluid-filled lesion greater than 1 cm in size (e.g. epidermolysis bullosa, bullous impetigo).

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What are primary and secondary lesions?

Primary skin lesions are those which develop as a direct result of the disease process. Secondary lesions are those which evolve from primary lesions or develop as a consequence of the patient's activities.

What are primary skin lesions?

Primary lesions are those lesions that arise de novo and are therefore the most characteristic of the desease process. Bulla: a circumscribed, elevated fluid-filled lesion greater than 1 cm in size (e.g. epidermolysis bullosa, bullous impetigo).

What are secondary lesions of skin?

Secondary lesions are those lesions that are characteristically brought about by modification of the primary lesion either by the individual with the lesion or through the natural evolution of the lesion in the environment.

What is the difference between a primary skin lesion and a secondary skin lesion?

Primary skin lesions are present at birth or are acquired over your lifetime. A birthmark would be an example of a primary skin lesion. Secondary skin lesions evolve from primary lesions or develop as a consequence of your activities. Melanoma resulting from sun exposure would be an example of a secondary skin lesion.

What are examples of primary lesions?

Common examples of primary skin lesions include freckles, moles, and blisters, among others.

What are the 3 types of skin lesions?

Primary skin lesions tend to be divided into three groups: Lesions formed by fluid within the skin layers: Examples include vesicles and pustules. Lesions that are solid masses: Examples include nodules and tumors. Flat lesions: Examples include patches and macules.

What are the two types of skin lesions?

Two categories of skin lesions exist: primary and secondary. Primary skin lesions are abnormal skin conditions present at birth or acquired over a person's lifetime. Secondary skin lesions are the result of irritated or manipulated primary skin lesions.

Is bulla primary or secondary?

Primary Lesions The following definitions fall under the category of primary lesion: Vesicle: a fluid-filled blister which is less than 5mm in diameter, elevated above the level of the skin with well demarcated borders. Bulla: a large vesicle (greater than 5 mm in diameter)

Is a Macule a secondary skin lesion?

Examples of primary lesions are papules, pustules, vesicles, nodules, plaques, macules, patches, and sometimes alopecia. Secondary lesions may be the result of the evolution or change that occurs to a primary lesion, or are the result of forces outside the skin such as trauma (scratching, chewing etc).

Is eczema primary or secondary?

Primary skin lesionsOverview of most common primary skin lesionsPrimary LesionsDescriptionVesicle (dermatology)Small fluid-containing blister (collection of fluid in the skin) ≤ 1 cm in diameter (e.g., seen in eczema herpeticum, chickenpox, herpes zoster)8 more rows•Aug 23, 2022

Is a scab a primary lesion?

Primary lesions occur on their own, and some examples include papules, nodules, and tumors. Secondary occur following primary lesions and can look like scales, scabbing, or scarring.

What does primary lesion mean in medical terms?

Medical Definition of primary lesion : the initial lesion of a disease specifically : the chancre of syphilis.

How many primary skin lesions are there?

Learn the 10 primary skin lesions, which include macule, papule, nodule, plaque, tumor, vesicle, pustule, bulla, wheal, and burrow. Skin lesions are relatively common and frequently arise due to localized skin injury.

What is a primary skin lesion Milady?

Primary lesions are lesions that are a different color than the color of the skin and/or lesions. raised above the surface of the skin.

Which are examples of primary skin lesions quizlet?

Examples: freckles, flat moles, petechiae, rubella, vitiligo, port wine stains, and ecchymosis. Elevated, palpable, solid mass; circumscribed border. < 0.5 cm.

What is a skin lesion?

A skin lesion refers to any skin area that has different characteristics from the surrounding skin, including color, shape, size, and texture. Skin...

What is a primary skin lesion?

Skin lesions can be divided into two main types: primary and secondary. Primary skin lesions originate on previously healthy skin and are directly...

What do skin lesions look like?

Skin lesions can present in a variety of different sizes, shapes, and forms. Moreover, skin lesions can appear isolated or in groups, and either lo...

What is a malignant skin lesion?

A malignant skin lesion is, by definition, skin cancer. The two main types of skin cancer are keratinocyte carcinoma and melanoma. Each type of ski...

What do malignant skin lesions look like?

Keratinocyte carcinoma arises from skin cells called keratinocytes, and includes basal cell carcinoma and squamous cell carcinoma. Basal cell carci...

What is a benign skin lesion?

A benign skin lesion is a non-cancerous skin abnormality, growth, or tumor that can occur anywhere on the body. Benign lesions can manifest in a nu...

What do benign skin lesions look like?

Unlike malignant lesions, benign skin lesions are generally symmetrical, well-circumscribed, have a uniform appearance, and are stable or grow slow...

What causes skin lesions?

Skin lesions can be hereditary (for example, moles or birthmarks), or acquired as a result of a variety of conditions. One of the most common cause...

Can cancer cause skin lesions?

Cancer can cause skin lesions through the spreading of malignant cells to the skin or, more commonly, as a result of paraneoplastic syndromes, whic...

Does AIDS cause skin lesions?

Individuals with AIDS can develop skin lesions as a result of the progressive immunosuppression caused by HIV infection. AIDS is associated with Ka...

What are secondary lesions?

Secondary lesions occur when skin affected by a primary lesion undergoes change related to manipulation, treatment or disease progression. The following are examples of secondary lesions: 1 Crust: contains dried blood, serum or exudate, is elevated slightly above the level of the skin and may cover variable sized areas of skin (may be very large or very small area) 2 Scale: keratinized cells that grow one on top of another, may be flakey and easily removed; irregular in size, dry or oily, thin or thick; may be white or cream-colored 3 Excoriation: scratches that may break the skin, often linear and caused by fingernails 4 Lichinification: occurs when the epidermis becomes thickened and rough due to chronic scratching or rubbing of the skin 5 Atrophy: occurs when the skin becomes thin and fragile; occurs frequently in elderly people and people using topical steroids for long periods of time 6 Scarring: occurs when normal skin is replaced by discolored and fibrous scar tissue 7 Ulcer: ulcers may involve the uppermost layer of skin (the epidermis) or may extend down into the dermis; may occur acutely or chronically

What is the treatment for skin lesions?

Treatment may include corticosteroids, antibiotics, antifungal aids and other medications given systemically or topically. When cancer is suspected, the lesion will be biopsied ...

What is a large vesicle?

Vesicle: a fluid-filled blister which is less than 5mm in diameter, elevated above the level of the skin with well demarcated borders. Bulla: a large vesicle (greater than 5 mm in diameter) Pustule: a pustule is similar in appearance to a vesicle or bulla, but contains purulent material.

What is the term for the epidermis that is thickened and rough?

Lichinification: occurs when the epidermis becomes thickened and rough due to chronic scratching or rubbing of the skin. Atrophy: occurs when the skin becomes thin and fragile; occurs frequently in elderly people and people using topical steroids for long periods of time.

What is the difference between keratinized cells and excoriation?

Scale: keratinized cells that grow one on top of another, may be flakey and easily removed; irregular in size, dry or oily, thin or thick; may be white or cream-colored. Excoriation: scratches that may break the skin, often linear and caused by fingernails.

What is a primary skin lesion?

Primary skin lesions originate on previously healthy skin and are directly associated with a specific cause. Common examples of primary skin lesions include freckles, moles, and blisters, among others. On the other hand, secondary skin lesions develop from the evolution of a primary skin lesion, either due to traumatic manipulation, such as scratching or rubbing, or due to its treatment or progression. Examples of secondary skin lesions include crusts, sores, ulcers, and scars.

What is a skin lesion?

A skin lesion refers to any skin area that has different characteristics from the surrounding skin, including color, shape, size, and texture. Skin lesions are very common and often appear as a result of a localized damage to the skin, like sunburns or contact dermatitis. Others, however, can be manifestations of underlying disorders, such as infections, diabetes, and autoimmune or genetic disorders. Although most skin lesions are benign and harmless, some of them can be malignant or premalignant, meaning they have the potential to evolve into skin cancer .

What do malignant skin lesions look like?

Basal cell carcinoma can appear as a pearly, flesh-colored skin lesion, with superficial blood vessels called telangiectasias on top. Basal cell carcinoma may present as a superficial scaling plaque, or a non-healing sore, which may bleed or form a crust. Conversely, squamous cell carcinoma commonly appears as a thick, crusty sore, with a reddish, inflamed base that can ulcer (appear as an open sore) and bleed.

What causes skin lesions?

One of the most common causes of skin lesions are infections; these include viruses, like herpes simplex, human immunodeficiency virus ( HIV) or human papillomavirus (HPV); bacteria, such as Staphylococcus or Streptococcus species; and fungi like Candida albicans. Other causes of skin lesions include allergic reactions; side effects of certain medications, like corticosteroids or chemotherapy; contact with irritant substances; unprotected sun exposure; severe burns; insect bites; poor circulation; vitamin deficiencies; systemic diseases like autoimmune diseases; some infectious diseases; liver and kidney disease; and cancer.

How do you treat skin lesions?

Some benign lesions may not need to be treated at all, and can be managed via regular check-ups with a dermatologist or general physician.

What are the most important facts to know about skin lesions?

Skin lesions refer to any skin area that presents different characteristics—including color, shape, size, and texture—from the surrounding skin. Skin lesions can be hereditary, such as moles or birthmarks, or acquired as a result of allergic reactions, medications, sun exposure, and systemic diseases, such as autoimmune diseases, some infectious diseases, and cancer, among others. Diagnosis of skin lesions begins with physical examination and medical history, and some skin lesions may require further diagnostic tests, such as blood tests, imaging, or biopsy. Specific treatment depends on the type of lesion and if malignancy is present. Some benign lesions may not need to be treated at all, while others may need local treatment. If the skin lesion is caused by a systemic disease, treatment may also address the underlying cause. On the other hand, malignant and premalignant lesions are generally treated with surgical removal to prevent their progression. Finally, the use of protective sunscreen is recommended for all individuals.

What is benign skin?

A benign skin lesion is a non-cancerous skin abnormality, growth, or tumor that can occur anywhere on the body. Benign lesions can manifest in a number of different ways, depending on their cause and tissue of origin.

What types of skin lesions are there?

There are two types of skin lesions: primary and secondary. Primary skin lesions are changes in color or texture that are generally present at birth or acquired over time, such as a birthmark or an age spot. Secondary skin lesions are a progression of primary skin lesions. They are changes to the original lesion that result from a natural evolution of the lesion or a person scratching or aggravating the lesion.

What is a solid mass on the skin?

4. Tumor. A tumor is a solid mass on the skin or subcutaneous tissue (under the skin). It is firm and usually larger than 2 centimeters. 5. Plaque. A plaque is a flat-topped, raised lesion larger than 1 centimeter. It is often red, scaly and itchy. Plaques are typically found on the scalp, elbows, and knees.

What is a small bump on the skin that contains pus?

Pustule. A pustule is a small bump on the skin that contains pus. They can be infected but not always, as in the case of pustular psoriasis. 9. Wheal. A wheal is a red, swollen mark that is often itchy and changes shape. They usually occur in response to a stimulus like a bug bite or food allergies.

What is it called when you have a vein on your skin?

Telangiectasia is a condition where blood vessels near the surface of the skin are dilated and cause threadlike lines or patterns on the skin. They are sometimes called spider veins. It can be caused by a variety of conditions such as rosacea or liver disease.

What are burrows in skin?

Burrow. Burrows are tunnels formed in the skin that appear as linear marks. They are a result of an infestation of the skin by parasites such as scabietic mites. 11. Telangiectasia. Telangiectasia is a condition where blood vessels near the surface of the skin are dilated and cause threadlike lines or patterns on the skin.

How big is a vesicle?

A vesicle is a raised bump less than 1 centimeter in diameter filled with air or clear liquid.

What causes primary skin lesions?

Primary skin lesions may be inherited, such as moles, freckles, or birthmarks, or acquired due to a range of disorders.

7 ways to diagnose a skin lesion

A dermatologist makes a diagnosis of a skin lesion after a thorough physical examination and detailed medical history.

What are the treatment options for primary skin lesions?

The treatment of a skin lesion depends on underlying causes. Your doctor may treat you considering various aspects, such as the type of the lesion, medical history, and previously attempted treatments.

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What are the key features of skin lesions?

Secondary lesions develop from irritated or manipulated primary lesions and/or manifestations of disease progression. The key features of skin lesions include type, morphology, color, shape, arrangement, and distribution. A comprehensive examination of the skin, appendages, and mucous membranes is done, with the type of procedure performed depending on the suspected diagnosis.

What causes scars on the skin?

Ulcers always result in a scar. Causes include: Trauma (e.g., heat, cold, electrical, chemical) Infections (e.g., bacterial, viral, fungal) Chronic venous stasis.

What is the name of the scales on the lower legs?

Dry, diffuse, and fish-like scales on lower legs (ichthyosiform): ichthyosis vulgaris

What is a narrow linear crack/split in the skin, extending through the epidermis into?

Fissure: narrow linear crack/split in the skin, extending through the epidermis into the dermis. Atrophy: loss of tissue that can be epidermal, dermal, or subcutaneous with appearance of thin, translucent, and/or wrinkled skin surface.

What is excoriation in dermatology?

Excoriation is a linear abrasion produced by mechanical means (scratching, rubbing, or picking) that usually involves only the epidermis but can reach the papillary dermis. Excoriation disorder secondary to skin picking. Image: “Derma me” by Boogafreak/Vatadoshu. License: Public Domain.

What is atrophic skin?

A loss of tissue that can be epidermal, dermal, or subcutaneous. Atrophic skin usually appears thin, translucent, and wrinkled. Produced by long-term sun exposure, aging, and some inflammatory and neoplastic skin diseases, such as systemic lupus erythematosus and cutaneous T-cell lymphoma.

What is a dry mass of keratin that represents thickened stratum corneum?

Scales are dry or greasy masses of keratin that represent thickened stratum corneum.

What are the primary and secondary lesions?

Primary lesions represent the initial presentation of the disease process. Secondary lesions develop from irritated or manipulated primary lesions, and/or disease progression. Along with history, a comprehensive examination of the skin, appendages, and mucous membranes is required to differentiate between conditions. The key features noted during examination include the type, morphology, size, color, shape, arrangement, and distribution of the presenting lesions. At times, diagnostic procedures may be necessary.

What is a raised 1 cm palpable skin lesion?

A papule is a raised ≤ 1 cm palpable skin lesion.

What is a large area of purpura called?

A large area of purpura may be called an ecchymosis.

What is a large firm lesion?

A large, firm lesion raised above the surface of the surrounding skin and measuring 1–5 cm. Usually extends into the dermis and subcutaneous tissue. The surface may be smooth, keratotic, ulcerated, or fungating. Examples:

Is fluid visible in lesions?

The fluid is visible as the lesions are translucent.

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