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actinic
of, relating to, resulting from, or exhibiting chemical changes produced by radiant energy, especially in the visible and UV parts of spectrum.
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alopecia
loss of hair; extreme can be loss of hair on scalp, eye brows, eyelashes, beard, body. Male pattern hair loss is most common
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apocrine
secreting- most common is apocrine sweat glands, which form a coiled secretory portion that forms at the junction of dermis and subQ fat. Found in axillary areas, genitoanal areas, and around areola of the breast. Bacteria causes this type of sweat to produce a strong odor upon contact.
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Beau's lines
horizontal lines that grow out with the nail. Mark a stressful event such as a high fever or severe illness.
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bulla
filled with clear, serous fluid >0.5cm in size.
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cherry angioma
bright red/ruby red 1-3mm in size, round, may show partial blanching with pressure
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clubbing
raised proximal nail folds that are spongy in consistency. Either congenital, sign of COPD, heart disease or GI disease
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confluent
flowing or coming together i.e. confluent lesions
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crust
dry layer of serum, pus, or blood
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cyanosis
bluish or purplish discoloration due to deficient oxygenation of the blood/ acute or chronic
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cyst
deep, firm mass >1cm
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dermatographia
condition in which lightly scratching your skin causes raised, red lines where you've scratched. Also called EXCORIATIONS.
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dermis
middle skin layer that contains connective tissue, sebaceous glands, sweat glands and hair follicles. Nourishes the epidermis. Is vascular
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desquamation
to peel off in the form of scales: scale off
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ecchymosis
large areas of extravasion of blood into the skin from the vessels
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eccrine
of, relating to, having, or being eccrine glands
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eczema
an inflammatory condition of the skin characterized by redness, itching, and oozing vesicular lesions which become scaly, crusted, or hardened.
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epidermis
most superficial layer of the skin that is thin and devoid of blood vessels. Consists of outer dead keratinized cell layer and inner cellular layer where melanin and keratin are formed.
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erosion
superficial loss of epidermis
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excoriation
welts caused by scratching
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fissure
break or slit in tissue usually at the junction of skin and mucous membrane
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Hirsutism
increased hair growth in a male pattern from increased androgen activity in a female.
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hyperkeratosis
hypertrophy of the stratum corneum layer of the skin
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induration
1. an increase in the fibrous elements in tissue commonly associated with inflammation and marked by loss of elasticity and pliability 2. a hardened mass or formation
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intertrigo
inflammation produced by chafing or adjacent areas of skin
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keratin
protein that provides structural basis of outer layer of our skin, hair and nails
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keratosis
disease of the skin marked by overgrowth of horny tissue.
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koilonychias
spoon nails- thinning of the nail plate seen in anemia, raynaud's syndrome, hemochromatosis. Can be familial
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Lentigines
small melanotic spot in the skin in which the formation of pigment is unrelated to exposure to sunlight and which is potentially malignant
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lichenification
thickened exaggerations of the skin fold
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lunula
whitish moon at proximal end of nail plate
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macule
flat lesion <1cm in size
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nail bed
rich vascular structure for adherence of the nail
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nail plate
hard translucent portion of the nail, composed of keratin
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nail root
area of the nail plate covered by proximal nail fold
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nevus
congenital or acquired, usually highly pigmented area on the skin that is either flat or raised (common mole). Lots of melanocytes.
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nodule
solid raised lesion that is deeper and firmer than a papule; 0.5 to 2cm in size
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onycholysis
lifting up of the nail. Can be seen in hyperthyroidism
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papule
solid, raised lesion <0.5cm in size
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paronychia
inflammation of the tissues adjacent to the nail of a finger or toe- usually accompanied by infection and pus formation.
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petechia(e)
a minute reddish or purplish spot containing blood that appears in skin or mucous membrane as a result of localized hemorrhage
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plaque
solid, slightly raised lesion >0.5cm in size, often a confluence of papules
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pruritus
localized or generalized itching due to irritation of sensory nerve endings
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purpura
extravasion of blood into the skin from the vessels
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pustule
lesion filled with white pus
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scale
thin flakes of epidermis
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sebaceous
secreting sebum (fatty substance)
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seborrhea
normally increased secretion and discharge of sebum producing an oily appearance of the skin and the formation of greasy scales
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serpiginous
slowly spreading "serpent-like" scar tissue
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splinter
a thin piece split or broken off lengthwise; especially: such a piece embedded in the skin
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telangiectasia
an abnormal dilation of red, blue, or purple superficial capillaries, arterioles, or venules typically located just below the skin's surface
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tumor
solid lesion >2cm in size
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turgor
the normal state of turgidity and tension in living cells- test this by pulling up skin on posterior hand and see how quickly it goes back to original state
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Tzanck test
scraping of an ulcer base to look for Tzanck cells
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ulcer
deep loss of all skin layers and deeper tissue
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vellus
short, fine, inconspicuous hair that is relatively unpigmented
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vesicle
filled with clear, serous fluid <0.5cm in size
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