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Terminology used in
   Dermatology
       Dr Robert Paver
        Dermatologist
           Medical Director
Skin and Cancer Foundation Westmead
Clinical Terminology
Colour: Erythema, pigmentation, purpura
Shape: discoid (round), annular (peripheral rim
 with normal centre), serpiginous, (snake like)
Macule: Flat circumscribed
 area of discolouration

Papule: Small lump <5mm

Nodule: Larger lump >5mm
Clinical Terminology

Plaque - Circumscribed
   area of elevated skin

Erosion - Area of loss of
   epidermis

Excoriation - Ulceration due to
   scratching
Clinical Terminology

Fissure - Crack though
   epidermis into dermis



Ulcer - Loss of epidermis,
   some dermis and
   possibly fat
Clinical Terminology
Surface changes
Crust – accumulated dried exudate

Scale – visible flakes of shedding keratin
              (dead epidermal cells)

Lichenification - thickened skin secondary to
                    scratching
Clinical Terminology
Fluid filled lesions
Vesicle – small collection
           of fluid (<5mm)

Bulla – Larger collection
          of fluid (>5mm)

Pustule – visible accumulation
         of pus
Clinical Terminology
 Miscellaneous terms
Telangiectasia – small blood
 vessels visible on skin surface
Alopecia - area of hair loss

Blood in the skin
Petechiae (small dots) Larger patches(Purpura)
Treatment of Skin Disease - Topical
 Bases for topical products

 Creams - usually white, need
 a preservative, used for
 subacute conditions



 Ointments - emollients,
 occlusive, chronic conditions
Treatment of Skin Disease - Topical
 Paints and lotions
 Drying effect, best for
 weeping (acute)rashes and
 hair bearing areas




 Gels clear, greaseless, dry
 when applied, good for face
Treatment of Skin Disease - Topical
 Powders have a drying effect
 and often used for rashes in
 intertriginous areas (eg groin,
 between toes, under breasts)




 Pastes are a combination of
 an ointment and a powder
 and are less greasy then
 ointments and tend to stick
 on longer.
References
Australasian College of Dermatologists Online
Student Teaching Modules

Images and Explanations of all skin diseases
        www.dermnetnz.org
Lecture Notes on Dermatology (Brown and
Burns) Blackwell Publishing

Skin Disease Diagnosis and Treatment
   (Habif) Elsevier Mosby Publishing
The End

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2.terminology used in dermatology rp

  • 1. Terminology used in Dermatology Dr Robert Paver Dermatologist Medical Director Skin and Cancer Foundation Westmead
  • 2. Clinical Terminology Colour: Erythema, pigmentation, purpura Shape: discoid (round), annular (peripheral rim with normal centre), serpiginous, (snake like) Macule: Flat circumscribed area of discolouration Papule: Small lump <5mm Nodule: Larger lump >5mm
  • 3. Clinical Terminology Plaque - Circumscribed area of elevated skin Erosion - Area of loss of epidermis Excoriation - Ulceration due to scratching
  • 4. Clinical Terminology Fissure - Crack though epidermis into dermis Ulcer - Loss of epidermis, some dermis and possibly fat
  • 5. Clinical Terminology Surface changes Crust – accumulated dried exudate Scale – visible flakes of shedding keratin (dead epidermal cells) Lichenification - thickened skin secondary to scratching
  • 6. Clinical Terminology Fluid filled lesions Vesicle – small collection of fluid (<5mm) Bulla – Larger collection of fluid (>5mm) Pustule – visible accumulation of pus
  • 7. Clinical Terminology Miscellaneous terms Telangiectasia – small blood vessels visible on skin surface Alopecia - area of hair loss Blood in the skin Petechiae (small dots) Larger patches(Purpura)
  • 8. Treatment of Skin Disease - Topical Bases for topical products Creams - usually white, need a preservative, used for subacute conditions Ointments - emollients, occlusive, chronic conditions
  • 9. Treatment of Skin Disease - Topical Paints and lotions Drying effect, best for weeping (acute)rashes and hair bearing areas Gels clear, greaseless, dry when applied, good for face
  • 10. Treatment of Skin Disease - Topical Powders have a drying effect and often used for rashes in intertriginous areas (eg groin, between toes, under breasts) Pastes are a combination of an ointment and a powder and are less greasy then ointments and tend to stick on longer.
  • 11. References Australasian College of Dermatologists Online Student Teaching Modules Images and Explanations of all skin diseases www.dermnetnz.org Lecture Notes on Dermatology (Brown and Burns) Blackwell Publishing Skin Disease Diagnosis and Treatment (Habif) Elsevier Mosby Publishing