1. Common Dermatology Terms

2. Macule erythema infectiosum
“A macule is a change in the color of the skin. It is flat, if you were to close your eyes and run your fingers over the surface of a purely macular lesion, you could not detect it. A macule greater than 1 cm. may be referred to as a patch”1

3. Papule scabies molluscum contagiosum
“A papule is a solid raised lesion that has distinct borders and is less than 1 cm in diameter. Papules may have a variety of shapes in profile (domed, flat-topped, umbilicated) and may be associated with secondary features such as crusts or scales” 1
scabies
molluscum contagiosum

4. Nodule Basal cell carcinoma
Basal cell carcinoma
“Nodule is a raised solid lesion more than 1 cm. and may be in the epidermis, dermis, or subcutaneous tissue” 1

5. Plaque tuberous sclerosis psoriasis
tuberous sclerosis
psoriasis
“A plaque is a solid, raised, flat-topped lesion greater than 1 cm. in diameter. It is analogous to the geological formation, the plateau”1

6. Vesicle
“Vesicles are raised lesions less than 5mm. in diameter that are filled with clear fluid (blister)”1

7. Bulla Bullous pemphigoid
“Vesicles are raised lesions greater than 5mm. in diameter that are filled with clear fluid (blister)”2

8. Pustule Group A Strep infection
Group A Strep infection
“Pustules are circumscribed elevated lesions that contain pus. They are most commonly infected (as in folliculitis) but may be sterile (as in pustular psoriasis)”1

9. Wheal (hive) “A wheal is an area of edema in the upper epidermis”1
“A wheal is an area of edema in the upper epidermis”1
“Edematous, transient papule or plaque caused by infiltration of dermis by
fluid”2

10. Scales Seborrheic dermatitis
“Excessive number of dead keratinocytes produced by abnormal keratinization”2

11. Petechiae, Purpura, Ecchymoses
“The term "petechiae" refers to smaller lesions. "Purpura" and "ecchymoses" are terms that refer to larger lesions. In certain situations purpura may be palpable. In all situations, petechiae, ecchymoses, and purpura do not blanch when pressed.”1
Henoch-Schönlein Purpura
Thrombocytopenia

12. Dermatology Quiz

13. 1.What is this common condition and what can it be confused with?

14. 2.This man works in a pine-stripping workshop. What is his rash?

15. 3.Identify this rash and explain why you have reached this conclusion

16. 4.What is this rash?

17. 5.Identify this rash

18. 6.Describe the appearance of these wrists

19. 7. What is this rash and what is its common name?

20. 8.Identify this itchy,blistered rash affecting the palms of hands and soles of feet

21. 9. This child with tonsillitis has been prescribed Penicillin V
9.This child with tonsillitis has been prescribed Penicillin V.What is the rash?

22. 10. This student was prescribed amoxicillin for sore throat
10.This student was prescribed amoxicillin for sore throat.What is the diagnosis?What is the underlying cause?

23. 11.This itchy rash presented suddenly and dramatically.What is it?

24. 12.What is this condition? What is the underlying problem and how is it inherited?

25. 13. This rash started off in the centre of the back seven days ago
13.This rash started off in the centre of the back seven days ago.What is the rash called and what is the larger area of rash known as?

26. 14. This baby is unwell and miserable. What is the likely diagnosis
14.This baby is unwell and miserable.What is the likely diagnosis? What is the underlying causative organism?

27. 15.What is the diagnosis? What is an alternative name for the skin lesions?

28. 16. Identify these painful lumps on the patient’s shins
16.Identify these painful lumps on the patient’s shins.Name 2 underlying causes

29. 17. What is this intensely itchy rash
17.What is this intensely itchy rash? What are the white areas known as?

30. 18.Why is it important to monitor this condition in the mouth?

31. 19. This patient was admitted with an extensive blistering rash
19.This patient was admitted with an extensive blistering rash.What is the diagnosis? How is it treated?

32. 20. This blistering condition affected just the legs. What is it
20.This blistering condition affected just the legs.What is it? (Ignore seborrhoeic warts)

33. 21.Identify this embarrassing and unpleasant condition

34. 22.Name this condition and describe the skin

35. 23.This rash appeared after a bout of tonsillitis.What is it?

36. 24.What is the diagnosis?

37. Daily sun exposure
Topical moisturizers(Petrolium jelly)
Tar preperation
Anthralin
Salicylic acid
Calcipotriene(vit D analogue)

38. 25. What has happened to these scars
25.What has happened to these scars? Name the underlying skin condition in each case

39. 26.This young woman erupted in this unusual rash after shopping at an outdoor market in the sunshine.What is the diagnosis?

40. 27.What is the diagnosis?

41. 28.Identify this painful and destructive vulval skin condition

42. 29.Describe what has happened to this patient

43. 30.What are these common lesions known as?

44. 31.What is this skin condition(very common in Bradford)?

45. 32.What are these crusty lesions on this elderly man’s scalp?

46. 33. This patient pricked her finger on a rose thorn
33.This patient pricked her finger on a rose thorn.What is the swelling called?

47. 34.What is the diagnosis?Describe 2 features typical of these lesions

48. 35.What is this rash and what makes you suspicious?(Ignore dark patch)

49. 36.What is the likely diagnosis and why?

50. 37.Diagnose the rash on this woman’s nipple

51. 38.What is the likely diagnosis and give 3 reasons why

52. 39.Give 4 features of this lesion which would suggest it is a melanoma

53. 40. What is this rash?

54. 41. Diagnose this potentially serious rash
41.Diagnose this potentially serious rash.What is the underlying cause?

55. 42.What is this common,painful rash?

56. 43.This medical student developed this rash when completing a primary care attachment.He was very unwell.What is the diagnosis?

58. 10-21 days incubation period Pruritic rash
Papulevesiclepustulecrust
Patient contagious 1-2 days from rash till all crustings
Immunoglobulins should be given within 72 hrs…. At the maximum 96 hrs

59. 44.What is this common viral condition?

60. 45. This man noticed his rash when he returned from holiday
45.This man noticed his rash when he returned from holiday.What is the diagnosis? What is the causative organism?

61. 46. This nurse developed a very itchy rash all over her body
46.This nurse developed a very itchy rash all over her body.What is it?

62. 47.What is this unusual rash?How is it treated?

63. 48.What is this common condition? What is the underlying cause?

64. 49. What is the condition on the left
49. What is the condition on the left?What is the condition on the right and how does it differ?

65. 50. This rash in the axilla can be confused with a fungal rash
50.This rash in the axilla can be confused with a fungal rash.What is it and how is it treated?

66. 51. Very Sick child with 6 days of fever with rash from head to toe?

68. Rash for 9 days
Rash disappears from head to toe
Fever with rash
Sick child

69. 52. On oral cavity examination, what is the lesion?

70. 53. After 3 days of febrile illness the child developed this rash neck trunk and thighs?

71. Fever goes away then rash appears
Child is otherwise healthy

72. 54. Child had fever with rash starting from face and neck for 3 days
54. Child had fever with rash starting from face and neck for 3 days. On 4th day patient’s rash started improving

73. Rash head to toe
Fever with rash
Rash only for 3 days

75. 55. 5 days history of high grade fever with severe body aches and rash developing on the face, thorax, and flexor surfaces, at day 3

76. Rash in dengue fever is a maculopapular or macular confluent rash over the face, thorax, and flexor surfaces, with islands of skin sparing.
The rash typically begins on day 3 and persists 2-3 days

77. 56. Young man after taking new drug for his epilepsy developed rash

78. 57. Gentleman took sulfamethoxazole as tretment for his diarrhea developed rash?

79. 58

80. 59

82. DOWN SYNDROME

86. TRISOMY 18

88. TRISOMY 13

90. TURNER SYNDROME

93. FRAGILE X SYNDROME

95. Marfans Syndrome

96. Answers SLE Raynaud’s Lichen sclerosis SCC development
Seborrhoeic warts
Suburn!!
Solar keratosis
Pyogenic granuloma’
BCC (rolled edge, telangietcasia)
Superficial spreading BCC
SCC
Pagets
Malignant melanoma (acral)
Shape, size, outline etc..
Impetigo
Erysipelas; strep
Herpes
VZV
Molluscum contagiosum; pox virus
Hypopigmentation- pityriasis vesicolor (fungal; seen more when tanned)
Scabies
Dermetitis herpetiformis (dapsone, gluten free diet)
Venous eczema (venous stasis)
Subungual melanoma (R), subungual haematoma (L)
Erythrasma (erythromycin)
Measles(Rubeola)
Koplick’s spot
Roseola rash
Rubella(German measles)
Denguee fever
Steven Jhonsons
TEN
Herpes Simplex
Herpes Zoster
Answers
Mongolian blue spot. Confused with non-accidental injury in children.
Irritant dermatitis
Nappy rash, irritant dermatitis (classical W shape)
Contact dermatitis (studs on jeans)
Eczema (signs of excoriation)
Lichenified
Craddle cap (seborrhoeic eczema); keratolytic shampoos, steroids.
Pomphlyx eczema
Drug eruption
Infectious mononucleosis/ Epstein barr virus.
Urticaria
Hereditary angioedema. AD inheritance. C1 esterase inhibitor deficiency.
Pityriasis rosea; herald patch.
Hand foot and mouth; Coxsackie A.
Target lesions/ erythema multiforme
Erythema nodosum (sarcoid, COCP, IBD, strep throat……)
Lichen planus; Wickham’s striae
Oral lichen planus; malignant potential
Pemphigus; high dose steroids needed.
Bullous pemphigoid
Hyperhydrosis
Vitiligo (depigmentation- not hypo).
Guttate psoriasis (post-strep)
Psoriasis
Koebnerisation (left-psoriasis, right-lichen planus)