Skin Object is for you to learn and

Skin Object is for you to learn and identify skin lesions

Describe his skin

Normal skin Color: Brown Normal hair No lesions Should feel for texture, turgor, moisture and warmth

Describe the lesion

Normal Mole • Tan to brown • Uniformly pigmented • Small (usually less than 6 mm across) • Solid regions of relatively flat (macules) to elevated skin (papules) • Well-defined, rounded borders

Describe skin over legs

Chronic ITP Hyperpigmentation

Describe the lesion

Campbell’d morgan spots Cherry angiomas are • Bright red • Small (usually 1 -4 mm) • Papules • Commonly seen on the trunk of adults. • Medically insignificant

Describe the skin

Hodgkin’s disease • Dry • Scaly

What do you see

Senile purpura • Red • Patch • Does not blanch on pressure • Thin skin

Describe the lesions

Steroid induced purpura • Red • Patch • Does not blanch on pressure

Describe the lesions

Schonlein-Henoch purpura • • Ankle locaton Multiple Red Not blanching on pressure • Less than 5 mm • Vasculitis

What type of skin lesions do you see?

Henoch Schonlein purpura • Multiple • Red • Not blanching on pressure • Less than 5 mm • Vasculitis

Describe the lesion

Echymosis • Red • Large patch • Irregular edge • Changing colors Coagulation defect

Describe the skin lesions

Vasculitis • Multiple • Red • Not blanching on pressure • Less than 5 mm • Coalesing Vasculitis drug induced

Describe each lesion

Leukemia cutis • Ulcerating lesions Black base Sharp edges Surrounding echymoses • Blister 1 cm Fluid filled

Patient with HIV. Describe the legs

Kaposi Sarcoma • Nonblanching red macule • Surrounding ecchymoses and acquire more of a violet hue • The lesions may become nodular

Describe the lesions

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

Describe the lesions

Sarcoidosis • Patch • O. 5 -1 cm in size • Different color than skin • Slightly elevated Maculo-papular lesions

Descrbe the skin lesions

Sarcoidosis • • Multiple Less than 1 cm Raised spot Dome shaped Papular lesions

What do you see?

Sickle cell anemia • • • Over ankle Patch larger than 1 cm Thin skin Loss of substance of skin Old scar

Interpret his Nails

Normal Transluscent Shiny Appears firm

Describe the nails

Doxorubicin • Transeverse band • White in color

Describe the Nails

Iron deficiency anemia • Spooning • concave Koilonychia

Describe the scar

Ehler’s danlos syndrome • • Patch larger than 1 cm Thin skin Loss of substance of skin Old widened scar

Describe the skin

Gardner Diamond syndrome • Multiple • Leniar wide • Thin skin Striae

Describe the lesion

Suqmous cell carcinoma • • • Ulcer Ear lobe Crusted lesion Sharp margin Indurated

What is the lesion behind Ear?

Keloid (after piercing) • Very firm • Rubbery lesions • Reddish or darkly colored • Occur after trauma sometimes very minor trauma • May itch.

Describe the skin

Eczema dyshydrotic

Chest wall. Warm. Diagnosis?

Empyema • • • Posterior chest wall Red patch Raised area Warm Tender

Describe his scar in chest

Empyema • Posterior chest wall • Wide scar • Loss of rib Previous open drainage

Describe her face

Sezary syndrome • Red face Erythroderma

Diagnosis

Erythroderma Differential diagnosis includes: psoriasis, eczema, drug reaction, pityriasis rubra pilaris (PRP), seborrheic dermatitis, lymphoma, mycosis fungoides, and other dermatoses.