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皮肤科基础皮损描述rjw

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2024-11-08
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单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,文章内容来源于网络,如果侵权或者不当的地方,请联系我删除或者改正文章内容仅可参考,不能作为科学依据谢谢!,The content of this article comes from the Internet.If there is any infringement or improper place,please contact me to delete or correct it.The content of the article can only be referred to,not as a scientific basis.thank you!,皮疹的分类,原发性损害(,primary lesions,),由皮肤病理变化直接产生的病变,斑疹、丘疹、斑块、结节、风团、水疱、脓疱、囊肿继发性损害(,secondary lesions,),由原发损害转变而来,或由于治疗、搔抓等引起,鳞屑、糜烂、浸渍、萎缩、溃疡、结痂、裂隙、瘢痕、抓痕、苔藓化Macule:,A macule is a circumscribed,flat lesion that differs from surrounding skin because of its color.,斑疹:,局限性皮肤颜色改变,不高起或凹陷皮面,。

A,C,斑疹:,局限性色素改变,色素沉着斑(,A,),色素减退板(,B,),炎症性充血(,C,),B,Papule,:,A papule is a small,solid,elevated lesion.,Papules are usually smaller than 1 cm in diameter.,丘疹:,局限性实质性隆起,直径小于,1cm,丘疹:,局限性实质性隆起,,直径通常小于,0.5cm,炎症性丘疹(,左上图,),病毒感染性丘疹(,左下图,),斑块:,丘疹融合而成,直径大于,1cm,Nodule,:,A nodule is a palpable,solid,round or ellipsoidal lesion.,Depth of involvement and/or substantive palpability rather than diameter differentiate a nodule from a papule.,结节:,实质性隆起,侵犯深度与直径大于丘疹,结节:,实质性隆起,肿瘤性结节,(,A,),代谢异常性结节,(,B,),A,B,Wheal,:,A wheal,or hive is a round or flat-topped papule or plaque that is characteristically evanescent,disppearing within 24 hours.,风团:,暂时性、局限性皮肤水肿性隆起,持续时间通常短于,24,小时,风团:,暂时性、局限性皮肤水肿性隆起,Vesicle and bullae:,A vesicle is a circumscribed,elevated lesion that contains fluid.A bullae is a vesicle larger than 0.5cm.Can be epidermal or subepidermal.,水疱:,含有液体高出皮面的损害。

直径大于,0.5cm,为,大疱,.,A,B,水疱:含有液体高出皮面的损害大疱:,含有液体高出皮面的损害,直径大于,0.5cm,Pustule:,A pustule is a circumscribed,raised lesion that contains a purulent exudate.,脓疱,:,含有脓液的疱疹与此类似的损害如,血疱,脓疱,:,含有脓液的疱疹,.,Cysts:,A cyst is a sac that contains liquid or semisolid material(fluid,cells,and cell products),on palpation,it is resilient.,囊肿,:,含有液体或半固体物质的囊性损害,触之有弹性,.,囊肿,:,含有液体或半固体物质的囊性损害,触之有弹性,.,Scale,desquamation:,Abnormal shedding or accumulation of stratum corneum in perceptible flakes is called scaling.,鳞屑:,脱落的表皮细胞及其它成分,鳞屑:,脱落的表皮细胞,及其它成分,Erosion:,A erosion is a moist,circumscribed,usually depressed lesion that results from loss of all or a portion of the viable epidermis.,糜烂:,表皮的缺损,愈后不留疤痕。

糜烂:,表皮的缺损,浅表,Ulcer:,An ulcer is a depressed lesion in which the epidermis and at least the upper dermis have been destroied.,溃疡:,皮肤缺损达到真皮或真皮以下,溃疡:,皮肤缺损达到真皮或真皮以下,Atrophy:,Atrophy refers to a diminution in the size of a cell,tissue,organ or part of the body.,萎缩:,指机体某部分(包括皮肤)减少,萎缩:,指机体某部分(包括皮肤)减少,Crusts:,Crusts are hardened deposits that result when serum,blood,or purulent exudate debris on the skin surface,and they are characteristic of pyogenic infections.,结痂:,创面上多种成分混合干燥物,结痂:,创面上多种成分混合干燥物,皮疹的描述,专业术语,位置:,按照实际位置描述,屈侧,伸侧,性质:,原发疹,继发疹,大小:,以实物为参照,:,针头大,粟粒大,绿豆大,黄豆大,核桃大,鸡蛋大,数目:,单发,多发,颜色:,正常皮色,红色,黄色,黑色,蓝色,白色,棕色等,分布:,对称,单侧;局限,播散;沿神经血管分布,排列:,散在,融合;孤立,群集;线状,环状,带状,不规则状,常用术语,自觉症状常用术语,:,瘙痒、疼痛、水肿、肿胀、压痛、针刺样痛、烧灼感,皮肤检查规范化描述,红斑:水肿性红斑;,白斑:色素减退斑、色素脱失斑;,色素沉着斑,瘀点、瘀斑,丘疹:毛囊性丘疹、炎性丘疹、毛周角化性丘疹、粉刺,鳞屑:,银白色鳞屑、糠秕状鳞屑、,粘着性鳞屑、油腻性鳞屑,结痂:血痂、厚痂、蜜黄色痂,瘢痕:萎缩性瘢痕、增生性瘢痕,散在分布、密集分布、群集性分布、簇集性分布、对称分布、单侧分布、全身泛发、弥漫性、线状排列、带状排列、串珠状排列、沿血管分布、沿肋间神经分布、向心性分布、伸侧、屈侧、间擦部、皱折部、暴露部位、接触部位,界限,清楚、界限不清、圆形、椭圆形、多角形、不 规则形、环状,表面,光滑、表面粗糙、扁平、隆起、半球形、圆锥形乳头状,、,疣状、菜花状、中央脐凹,基底,较宽、基底较窄、基底呈蒂状、周围绕有红晕,浸润增厚、萎缩变薄,水疱,松驰、紧张,质硬、柔软、融合、互不融合、蜡样光泽,尼氏征、薄膜现象、点状出血现象,、,Auspitz,征、皮肤划痕征,。

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