1.1 Macule
Sinonimai
Macule, patch
Apibrėžimas / Aprašymas
A flat, non-palpable, localized change in color of skin. Usually sharp borders
If larger than 1 cm: patch
Colors: red, brown, black, white, blue, yellow
Size: several millimeters
Specialus
Petechia (punctate bleeding into skin), purpura (small areas of bleeding), hematoma (larger areas of bleeding), deposition of pigmented material of different origin
Vieta
Can appear anywhere on skin; for example macular exanthem
On mucosa: enanthem
Eiga
May develop into hive or a papule
May over time develop additional scaling
Often associated with papules, vesicles and pustules
Komentaras / Paaiškinimas
Large red patch = erythema
Erythroderma (generalized redness, often infiltrated)
Flush (acute transient facial erythema)
Tipinės dermatozės
Drug induced eruption, macular lentigo, viral exanthema, vitiligo, pytiriasis versicolor
Fiziopatologija
Vascular dilation, either because of aberrant vessels or inflammatory mediators (red): endogenous or exogenous pigment, for example melanin (brown-black, blue-gray), hemoglobulin (red-blue), hemosiderin (brown) lipids (yellow), loss of pigment (white) , external deposition of foreign body material (trauma, tattoo)
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