bimbingan morfologi kulit.pptx
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DISCUSSIONMORPHOLOGY of SKIN LESION
Made By: Chandra Hanseng Kimlistio
Preceptor: dr. Suswardana SpKK1
WHY is THAT IMPORTANT??
“He who studies skin diseases and fails to study the lesions first, will never understand
dermatology”
-Siemens (1891-1969)-
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CLASSIFICATION
1. Primary Lesion2.Secondary Lesion
-Plenk’s and Wilan-
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PRIMARY LESION
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1. MACULE
a circumscribed area of change in skin color without elevation or depression.
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.5
EXAMPLES
Habif, T.P. Clinical Dermatoloy, 54th Edition. Mosby, Philadelphia. 20046
2. PAPULE
An elevated solid lesion up to 0.5 cm in diameter
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.7
EXAMPLES
Habif, T.P. Clinical Dermatoloy, 54th Edition. Mosby, Philadelphia. 20048
3. PLAQUE
A circumscribed, elevated, superficial, solid lesion more than 0.5 cm in diameter
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.9
EXAMPLES
10Habif, T.P. Clinical Dermatoloy, 54th Edition. Mosby, Philadelphia. 2004
4. NODULE
A palpable, solid, round or ellipsoidal lesion that is larger than a papule
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008. 11
5. WHEAL
A firm edematous plaque resulting from infiltration of the dermis with fluid; wheals are transient and may last only a
few hours
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008. 12
EXAMPLES
Habif, T.P. Clinical Dermatoloy, 54th Edition. Mosby, Philadelphia. 2004 13
6. VESICLE
A circumscribed collection of free fluid up to 0.5 cm in diameter
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008. 14
7. BULLAE
A circumscribed collection of free fluid more than 0.5 cm in diameter
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008. 15
8. PUSTULES
A circumscribed, superficial cavity of the skin that
contains a purulent exudate
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008. 16
EXAMPLES
Habif, T.P. Clinical Dermatoloy, 54th Edition. Mosby, Philadelphia. 2004 17
9. PURPURA
A circumscribed deposit of blood greater than 0.5 cm in diameter
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008. 18
10. CYST
A circumscribed lesion with a wall and a lumen; the lumen may contain fluid or solid matter
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008. 19
SECONDARY LESION
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1. CRUST
A collection of dried serum and cellular debris
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.21
EXAMPLES
Habif, T.P. Clinical Dermatoloy, 54th Edition. Mosby, Philadelphia. 200422
2. SCALE
Excess dead epidermal cells that are produced by abnormal keratinization and shedding
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.23
EXAMPLES
Habif, T.P. Clinical Dermatoloy, 54th Edition. Mosby, Philadelphia. 200424
3. EROSION
A focal loss of epidermis
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.25
4. ULCER
A focal loss of epidermis and dermis
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.26
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EXAMPLES
Habif, T.P. Clinical Dermatoloy, 54th Edition. Mosby, Philadelphia. 2004
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5. SCAR
An abnormal formation of connective tissue implying dermal damage
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.
6. ATROPHY
A depression in the skin resulting from thinning of the epidermis or dermis
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.29
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7. FISSURE
A linear loss of epidermis and dermis with sharply defined, nearly vertical walls
Wolf, K. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 86h Edition. New York: McGraw Hill. 2008.
EXAMPLES
Habif, T.P. Clinical Dermatoloy, 54th Edition. Mosby, Philadelphia. 200431
8. LICHENIFICATION
An area of thickened epidermis induced by scratching
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.32
9. EXCORIATION
An erosion caused by scratching
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.33
OTHER CLASSIFICATION
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.34
COMEDO
Hair follicle infundibulum that is dilated and plugged by keratin and lipids.
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.35
HORN
Hyperkeratotic conical mass of cornified cells arising over an abnormally differentiating epidermis
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.36
POIKILODERMA
Combination of atrophy, telangiectasia, and varied pigmentary changes (hyper- and hypo-) over an area of skin
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.37
SINUS
A TRACT connecting deep suppurative cavities to each other or to the surface of the skin
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.38
STRIAE
Near depressions of the skin that usually measure several centimeters in length and result from changes to the
reticular collagen that occur with rapid stretching of the skin.
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.39
BURROWS
A wavy, threadlike tunnel through the outer portion of the epidermis excavated by a parasite
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.40
SCLEROSIS
A circumscribed or diffuse hardening or induration of the skin that results from dermal fibrosis.
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.41
PATCH
A flat area of skin or mucous membranes with a different color from its surrounding.
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.42
ERYTHEMA
The blanchable pink to red color of skin or mucous membrane that is due to dilatation of arteries and veins in
the papillary and reticular dermis.Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.4
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ERYTHRODERMA
A generalized deep redness of the skin involving more than 90% of the body surface within days to weeks
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.44
KERATODERMA
Excessive accumulation of scale (hyperkeratosis) that results in a yellowish thickening of the skin, usually on the palms
or solesLowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.4
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ESCHAR
Tissue necrosis, infarction, deep burns, gangrene, or other
ulcerating processLowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.
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TELENGIECTASIA
Dilated superficial blood vessels
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.
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INFARCT
An area of cutaneous necrosis resulting from a bland or inflammatory occlusion of blood vessels in the skin
Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest. Fitzpatrick’s Dermatology in General Medicine, 8th Edition. New York: McGraw Hill. 2012.
CONCLUSION
UNDERSTANDING BASIC KNOWLEDGE
is THE MOST FUNDAMENTAL
ASPECT
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“What is most difficult of all?”What appears to be most
simple: to see with your eyes what lies in front of your eyes...
-Johann Wolfgang van Goethe- 50
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