You are on page 1of 8

BJD

G E N E R A L D E R M A TO L O GY British Journal of Dermatology

The 2016 International League of Dermatological Societies’
revised glossary for the description of cutaneous lesions
A. Nast,1 C.E.M. Griffiths,2 R. Hay,3 W. Sterry4 and J.L. Bolognia5
1
Division of Evidence Based Medicine (dEBM), Department of Dermatology, Charite – Universit€atsmedizin Berlin, Chariteplatz 1, D-10117 Berlin, Germany
2
Dermatology Centre, Salford Royal Hospital, University of Manchester, Manchester Academic Health Science Centre, Manchester, U.K.
3
Department of Dermatology, Kings College Hospital, London, U.K.
4
Department of Dermatology, Charite – Universit€atsmedizin Berlin, Berlin, Germany
5
Department of Dermatology, Yale Medical School, New Haven, CT, U.S.A.

Summary

Correspondence Background In order to facilitate effective communication in dermatology, a clearly
Alexander Nast. defined glossary with precise descriptions is essential. The International League of
E-mail: alexander.nast@charite.de Dermatological Societies’ (ILDS) ‘Glossary of basic dermatology lesions’ was first
published in 1987. A quarter of a century later, the ILDS made the decision to
Accepted for publication
24 December 2015 revise and expand this nomenclature.
Objectives Revision and expansion of an international nomenclature for the
Funding sources description of cutaneous lesions.
International League of Dermatological Societies. Methods The ILDS nominated a committee on nomenclature. Based on a review of
the literature and major textbooks, the committee assembled a list of terms and
Conflicts of interest
definitions. National member societies of the ILDS were then invited to partici-
None declared.
pate in a Delphi voting exercise (two rounds for basic descriptive terms, one
DOI 10.1111/bjd.14419 round for additional terms). The committee reviewed and consolidated com-
ments and consented the final version.
Results The revised and expanded version of the ILDS nomenclature includes 13
basic terms and over 100 additional descriptive terms. Forty-six and then 34
national member societies participated in the first and second voting rounds,
respectively.
Conclusions A unifying nomenclature is crucial for effective communication among
dermatologists and those who care for skin diseases. The next step will be a roll-out
programme to national member societies of the ILDS that will include translations
into languages other than English and adaptations reflecting local circumstances.

What’s already known about this topic?
• A unifying language and precise descriptions are key to the practice of dermatol-
ogy.
• The International League of Dermatological Societies (ILDS) first published a ‘Glos-
sary of basic dermatology lesions’ in 1987.

What does this study add?
• This is an entirely updated and revised version of the 1987 ILDS glossary.
• The revised nomenclature is written with both dermatologists and nondermatolo-
gists in mind.

The specialty of dermatology is based upon visual examination, and those who care for people with skin diseases. For centuries,
followed by a precise description of lesional morphology. textbooks of dermatology have listed definitions of commonly
Therefore, a harmonized and clear nomenclature is crucial for employed dermatological terms. However, these definitions
both verbal and written communication among dermatologists are often influenced by national and regional traditions, and

© 2016 International League of Dermatological Societies and British Journal of Dermatology (2016) 174, pp1351–1358 1351
the Authors. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use,
distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

therefore significant variation exists. the glossary was accomplished as the result of active participa. summarized by Committee Online voting by national member societies (May 2012) Discussion of results from voting in Glossary of Basic Dermatology Lesions Workshop at ILDS Summit.4 At the ILDS summit held in Berlin in June 2012. As already foreseen in their introduction. carried out as before. a ILDS board of directors provided additional comments and working group entitled the ILDS Committee on Nomenclature then approved the final submitted consolidated version. comments by the working descriptive terms (Tables 2–4) were finalized. a ‘Glossary Discussion of Basic Dermatology Lesions’ workshop was held. . The revised glossary of basic terms with published the first version of the International League of Derma. its summit-based changes. . A. included both the revised version of the basic terms and the ment. . partici- committee on nomenclature was established. In 1987 Winkelmann1 present at the summit. The revised defi. and a tions and clinical examples. the ILDS decided ‘agree’ or to ‘disagree’ with the individual terms. presented for comments to all Summit attendees (June 2012) Extraction and selection of terms from the literature and dermatology textbooks Additional revisions by Committee Initial draft written by Committee Online voting on definitions for all terms by national member societies (July 2013) E l i off voting Evaluation i results l and d comments b by C Committee i ((severall meetings i d during i 2014) Incorporation of further external comments.org/en/). in which definitions were discussed and further refined. followed by approval by ILDS Board Final consensus on Glossary (2015) Fig 1. pp1351–1358 © 2016 International League of Dermatological Societies and the Authors. If there was disagreement. The voting was tion will wish to expand and refine the work. Precise description of the clinical morphology of cutaneous nitions were then presented to all the attendees of the summit lesions is crucial to the practice of dermatology. societies for voting via an online voting process. 1). consisting of the authors of this publication.limesurvey. their defini- to revise and expand this original version of the glossary. a for further comments.2 Participants were societies participated in the second round of voting. Unanimous consensus and final www. This revision of pants were asked to provide reasons and alternative suggestions. 46 group and clinical examples. was circulated to all national member lesions’. Responsibility for assignment to the most appropriate officer or member rested with the society. which asked either to ‘agree’ or to ‘disagree’. For both rounds of voting.’. and every comment was reviewed and discussed. If there was disagree. with participants being asked either to 25 years later (the equivalent of a generation). ety’s preferred e-mail address. together with the draft list of addi- tological Societies’ (ILDS) ‘Glossary of basic dermatology tional descriptive terms. The upon the new ILDS glossary (Fig. Thus. The committee on nomenclature examined the results of Materials and methods the voting. ‘Each genera. Thirty-four national member voting via a modified Delphi approach. collect feedback from the participants of the online voting. In January 2012. of multiple dermatology textbooks was performed to extract a draft list of basic descriptive terms and a second list of addi- Results tional terms. an online survey tool commonly approval on all suggested terms and definitions were achieved used for Delphi method voting procedures. The software Lime Survey (https:// posed terms was rejected. was formed. Altogether. Definitions and examples for the chosen terms were collected. participants were then asked to provide reasons as well proposed list of additional descriptive terms. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists. A structured process was established to develop and to agree Necessary adjustments to the glossary were then made. delegates from at least 35 countries were clearly defined nomenclature is the foundation for effective Formation of the ILDS Nomenclature Committee (January 2012) Basic descriptive terms Additional terms Extraction and selection of terms from the literature and dermatology textbooks.3. Thus. was utilized to by the committee on nomenclature in July 2015. was circulated to all national national member societies participated in the initial voting member societies of the ILDS for comments and for online regarding basic descriptive terms. The draft list of basic descriptive terms. a review of the previous glossary by Winkelmann1 and examples or comments based upon the journal reviewers. including by ILDS Board Members. None of the pro- as alternative suggestions. Tables 1–4 include further modifications of either clinical tially.1352 Glossary for the description of cutaneous lesions. Process of revision of the International League of Dermatological Societies’ (ILDS) glossary for the description of cutaneous lesions. Nast et al. along Thirteen basic terms (Table 1) and over 100 additional with their proposed definitions. Ini. information was sent to each soci- tion by the national member societies of the ILDS. British Journal of Dermatology (2016) 174.

Since 1987. serous or haemorrhagic) Pustule A circumscribed lesion that contains pus Crust Dried serum. well demarcated vs. plaques are elevated. even the most com. topography (surface characteristics.g. circumscribed. palpable lesion > 1 cm usually located The average diameter.g. degree of elevation and consistency or of the lesion may be exophytic or beneath the skin surface feel can be included Weal A transient elevation of the skin due to dermal oedema. ciation of Dermatologists’ Handbook for Medical Students and Junior reflecting regional schools of thought. dermatological users with a wide range of terms that allow for harmonization nomenclature has continued to evolve. such mon terms are defined differently. blood or pus on the surface of the skin Scale A visible accumulation of keratin. actinic keratosis Polygonal.g. solid. the authors included such lesions as plaques. Of note. lesions such as those of morphoea should be termed plaques. shape. Glossary for the description of cutaneous lesions.g. of papules degree of elevation and consistency or feel can be included Nodule An elevated.5. flat topped) and border should be described. Doctors. twice for the final version of the glossary is made available to the ILDS mem- basic descriptive terms and once for the additional descriptive ber societies and the dermatology community. journals. shape. psoriasis Powdery (furfuraceous). Due to the length pass before further revisions are proposed. e.g. terms. . degree of elevation and consistency or feel can be included Plaque A circumscribed. topography and border primarily in the dermis and/or subcutis. secondary changes. resolving furunculosis Erosion Loss of either a portion of or the entire epidermis It may arise following detachment of the roof of a blister. 1353 Table 1 Basic descriptive terms for cutaneous lesions. base and surrounding tissue a There is ongoing discussion as to whether nonelevated. ill defined) should be described. Nast et al. a macule (≤ 1 cm) is distinguished from a patch (> 1 cm) Papule An elevated. e. but not all.a Plaques may result from a coalescence (e. For example. Obviously. ichthyosis Collarette of scale: fine white scale at the edge of an inflammatory lesion or resolving infectious process. pp1351–1358 the Authors. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists. palpable lesion that is ≤ 1 cm in diameter The average diameter. In North America. colour. hence the statement that most. 1 cm). colour. topography and border plaques are elevated. including by national societies and scientific effort to include all of the ILDS national member societies.g. colour.g. e. e. repeated rounds of voting were not feasible. forming a flat plate or flake Types of scale Silvery (micaceous). pityriasis rosea. In addition. are included in the description Term Definition Comments Macule A flat. when of the dermatological language worldwide. as the morphology module of the American Academy of Der- nificant variability in the definition for ‘tumour’.6 However. the basic terms were discussed at the It remains to be determined whether another 25 years will workshop during the ILDS summit in Berlin. tional revisions will come before the year 2041. pityriasis (tinea) versicolor Greasy. serous or haemorrhagic) Bulla A circumscribed lesion > 1 cm in diameter that contains liquid ‘Large blister’ (clear. bullous impetigo Excoriation A loss of the epidermis and a portion of the dermis due to It may be linear or punctate scratching or an exogenous injury Ulcer Full-thickness loss of the epidermis plus at least a portion of The size. often There are no surface changes pale centrally with an erythematous rim Vesicle A circumscribed lesion ≤ 1 cm in diameter that contains liquid ‘Small blister’ (clear. colour and border should be from the surrounding skin.g. It can be any colour or shape described. national-society-based online glossaries do currently exist. e. this will be an ongoing process once the They were invited to the online voting rounds. most The average diameter. seborrhoeic dermatitis Gritty. or whether addi- of the survey. The nomenclature committee made every and adaptations. nonpalpable lesion that differs in colour The average diameter. a few reading various international textbooks.g. The hope is that this and simplified glossary for all practitioners who manage skin revised ILDS glossary will serve as a basis for local translations disease worldwide. communication. e. from everyday conversations to scientific The 2016 revision of the ILDS nomenclature provides its exchange on a global basis. it may extend into the subcutaneous tissue characteristics of the border. a structured development process has not There was therefore a recognized need for a standardized been described for any of these glossaries. © 2016 International League of Dermatological Societies and British Journal of Dermatology (2016) 174. The greatest portion should be described. Furthermore. if present. e. resolving folliculitis. as well as in matology’s Basic Dermatology Curriculum and the British Asso- the defined size of papules or vesicles (05 cm vs. shape. shape. A. For the first four terms. palpable lesion > 1 cm in diameter. shape and depth should be described as well as the the dermis. but palpable. there is sig. e. solid.

acrocyanosis nipples Asymmetrical Lesion or distribution pattern that lacks symmetry Acute allergic contact dermatitis. keratosis pilaris Generalized/widespread Distributed over most of the body surface area (see Viral exanthems (e. antecubital or popliteal fossae) Follicular and perifollicular Lesions located within or around hair follicles Folliculitis. sunburn) Dermatomal (zosteriform)a See ‘Dermatomal’ above See ‘Dermatomal’ above Sporotrichoid Lesions along lymphatic vessels Sporotrichosis. frictional lichenoid extension. Langerhans cell histiocytosis Linear Linear arrangement of lesions K€obner phenomenon Lesions induced by physical stimuli (e. submammary. pustulosis palmaris et plantaris Periorificial (e. Lesions around body orifices Vitiligo. herpes zoster. shape. segmental neurofibromatosis innervated by a single spinal nerve (dermatomes) Disseminated Generalized/widespread Lesions distributed randomly over most of the body Varicella. Grover disease (trunk) (e. intertrigo. trauma. segmental of the body vitiligo Universal Involving the entire body Alopecia universalis Zosteriform (dermatomal)a See ‘Dermatomal’ See ‘Dermatomal’ British Journal of Dermatology (2016) 174. above) morbilliform drug eruption Grouped Herpetiform Clusters of papulovesicles Herpes simplex Agminated Solid papules within a cluster Agminated melanocytic naevi. erythrasma Intertriginous Present in major body folds (axilla. viral exanthems Within an anatomical region an anatomical region Folliculitis (buttocks). melanoma Dermatomal (zosteriform)a Lesions confined to one or more segments of skin Herpes zoster. CHILD syndromeb. palmoplantar Lesions on the palms and/or soles Keratoderma. intergluteal fold) (candidiasis). Table 2 Additional terms for cutaneous lesions: distribution. Inverse psoriasis. Psoriasis. A. the midline) lichen striatus. Distribution of cutaneous lesions Term Definition Clinical example(s) Acral Lesions of distal extremities. leiomyomas Satellitosis Smaller papules surrounding a larger lesion Melanoma metastases. linear lichen planus. knee) Flexural sites Areas overlying muscle and tendons involved in Atopic dermatitis flexion of joints or the inner aspect of joints (e. friction. as well as joints (e. perianal) Seborrhoeic regions Areas with the highest density of sebaceous glands Seborrhoeic dermatitis. dermatitis elbow. along an axis (e. vitiligo scratching. penis. periorificial dermatitis periorbital. rubeola. extensor forearm. ears.g. keratosis pilaris. airborne allergens. Acral type of vitiligo. lichen striatus Localized Lesions confined to one or a few areas Leiomyomas. disseminated zoster.g. morbilliform drug surface area (generalized/widespread) or within eruption. rubella). the midline) Unilateral Lesions confined to either the left or the right half Herpes zoster. radiation dermatitis photodistributed) Extensor sites (of extremities) Areas overlying muscles and tendons involved in Psoriasis. topography and palpation. cutaneous candidosis inguinal crease. atopic dermatitis (e. irritants or physical agents) contact dermatitis Exposed to sunlight or other Polymorphic light eruption. in the case of a single lesion.g.g. scalp. pp1351–1358 © 2016 International League of Dermatological Societies and the Authors. an extremity) Exposed skin Exposed to the environment Areas exposed to external agents (chemical Allergic contact dermatitis to plants. lichen planus. eruption.1354 Glossary for the description of cutaneous lesions. nose. pyogenic granulomas Interdigital Area between the fingers or toes Tinea pedis. upper trunk) Segmental Block-like Lesions along embryonic growth linesa Pigmentary mosaicism Along Blaschko lines Lesions along embryonic growth linesa Pigmentary mosaicism. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists.g. scalp psoriasis Palmar. Nast et al. plantar.g. pityriasis rubra pilaris. phototoxic drug forms of radiation (e. the back.g. Darier disease (e. face. incontinentia pigmenti Dermatomal (zosteriform) See ‘Dermatomal’ Herpes zoster Symmetrical Lesions or pattern with symmetry along an axis Psoriasis. Mycobacterium marinum infection Along Blaschko lines Lesions due to mosaicism Epidermal naevus. beneath pannus.g. periocular. .g.g.

arch-like Urticaria. condylomata lata Papillomatous Multiple projections resembling a nipple Papillomatous intradermal melanocytic naevus. Heberden nodes. divided into epidermal. vitiligo uninvolved skin Poorly circumscribed Indistinct demarcation between involved Atopic dermatitis and uninvolved skin Digitate Resembles fingers Digitate dermatosis. oral lichen planus Round (discoid) Circular or coin-shaped Discoid lupus erythematosus. . reminiscent of a snake Cutaneous larva migrans Geometric Artefactual Lesions induced by trauma are often Trauma (including self-induced and factitial) angulated or have linear edges. droplet often multiple similar-appearing lesions Oval A round shape with slight elongation. molluscum contagiosum Flat-topped Elevated with a flat top Lichen planus. A. a form of parapsoriasis Figurate A shape or form with rounded margins Annular Shape of a ring (clear centrally) Tinea corporis. fixed drug eruption Form (profile/side view) Definition Clinical example(s) Acuminate Elevated with tapering to a sharp point(s) Filiform wart. epidermoid inclusion cyst. pp1351–1358 the Authors. idiopathic guttate hypomelanosis. abscess Induration Firm texture in the absence of calcification or bone Morphoea. systemic sclerosis formation Mobile Can be moved over deeper soft tissue structures Lipoma. Nast et al. herpes simplex. Kawasaki disease lesions Reticulate Net-like or lacy pattern Livedo reticularis. nummular eczema. erythema annulare centrifugum Arciform A segment of a ring. with a shape that often resembles a Guttate psoriasis. tumour attached to deep soft tissue Fluctuant Compressible. granuloma annulare. lichen striatus. chimerism Guttate Small. cutaneous horn Depressed Surface below that of normal adjacent skin Dermal atrophy: atrophoderma Lipoatrophy: antiretroviral therapy. fibrous papule of the nose. Glossary for the description of cutaneous lesions. chimerism blocks whose size can vary (see ‘Segmental’) Checkerboard See ‘block-like’ Pigmentary mosaicism. 1355 Shape and topography of cutaneous lesions Form (top view) Definition Clinical example(s) Circumscribed Well circumscribed Distinct demarcation between involved and Psoriasis. Epidermal: lichen sclerosus dermal and subcutaneous Dermal: anetoderma Subcutaneous: lipoatrophy Compressible Pressure leads to reduction in volume Venous lake Firm Feels solid and compact Cutaneous metastasis. dermatofibroma © 2016 International League of Dermatological Societies and British Journal of Dermatology (2016) 174. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists. Pityriasis rosea resembling that of an ellipse or egg Polygonal A lesion whose shape resembles a polygon Lichen planus with multiple angles Polymorphic Variable sizes and shapes as well as types of Polymorphic light eruption. implying liquefaction Inflamed epidermoid cyst. the configuration can reflect sites of exposure to irritants or allergens Block-like Embryonic pattern resembling rectangular Pigmentary mosaicism. erythema ab igne. dermatofibroma Fixed Is not mobile Osteoma. epidermal naevus Pedunculated Papule or nodule attached by a thinner stalk Skin tag (acrochordon) Raised edge Elevated peripheral rim Porokeratosis Umbilicated Small central depression Varicella. erythema annulare centrifugum Polycyclic Coalescence of several rings Subacute cutaneous lupus erythematosus Serpiginous Wavy pattern. molluscum contagiosum Verruciform Multiple projections resembling a wart Verrucae Palpation of cutaneous lesions Texture or feel Definition Clinical example(s) Atrophy A diminution of tissue. corticosteroid injections Domed Hemispherical form Intradermal melanocytic naevus.

paraesthesias Vulvodynia. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists. naevus sebaceus on scalp Anaesthetic Loss of sensation Tuberculoid leprosy lesion Artefact Induced by exogenous injury. Nast et al. use of anticoagulant the skin or soft tissues medications Halo Peripheral ring. draining abscess associated with abscess or hollow organ to the skin surface hidradenitis suppurativa Gangrene Death of tissue due to ischaemia.1356 Glossary for the description of cutaneous lesions. Table 3 Additional descriptive terms for cutaneous lesions Additional descriptive terms for cutaneous lesions Term Definition Clinical example(s) Alopecia Decreased density or thickness of hairs Androgenetic alopecia. notalgia paraesthetica. may extend Chronic hand dermatitis. including the pre-eruptive phase Ecchymosis Haemorrhage into the skin. frostbite Gumma Granulomatous nodule or plaque with sticky Tertiary syphilis. A. uniform surface Fibrous papule of the nose Soft Compressible. . pp1351–1358 © 2016 International League of Dermatological Societies and the Authors. angular cheilitis into the dermis Fistula Abnormal congenital or acquired passage from an Crohn disease. comedones of sun-damaged facial skin and closed) (black) keratinous debris (‘blackhead’) (Favre–Racouchot syndrome). roseola infantum. cellulitis a Some clinicians also use the term segmental for a zosteriform/dermatomal distribution pattern.g. usually due to trauma Use of anticoagulant medications. intradermal melanocytic naevus. sometimes self. alopecia areata. usually with no connection to skin surface (‘whitehead’) Dysaesthesia Inappropriate sensations. Factitial dermatosis inflicted Callus Reactive hyperkeratosis. (bruise) clotting abnormality Exanthem Acute widespread eruption. postoperative. usually acral Peripheral arterial disease. leading to enhanced skin markings (palmoplantar surface) Clavus (hard Localized thickening of the stratum corneum due to Overlying bony prominences. leading to a smooth glassy metatarsal heads (plantar surface) appearance Comedo (open Open: dilated hair infundibulum with oxidized Acne vulgaris. congenital hemidysplasia with ichthyosiform erythroderma and limb defects. Table 2 (continued) Palpation of cutaneous lesions Texture or feel Definition Clinical example(s) Pulsatile Throbs Arteriovenous malformation Rock hard Very hard Calcinosis cutis. lateral fifth toe.g. including surgery. tuberculous gumma (rubber-like) discharge Haematoma Circumscribed. rubella. shape easy to change or mould Skin tag. e. usually due to friction and/ Overlying heads of metacarpals and metatarsals or pressure. osteoma cutis Rope-like Feels like a rope within the skin Thrombophlebitis Rough Lesion with an uneven and coarse surface Actinic keratosis Rubbery Resembles rubber: firm but with some Epidermoid inclusion cyst. bCHILD. usually palpable haemorrhage into Trauma. herpes zoster. usually due to a viral Rubeola. e. neurofibroma Warm Temperature higher than normal surrounding skin Arteriovenous malformation. morbilliform or infection or drug reaction exanthematous drug reaction Fissure Linear disruption of stratum corneum. erysipelas. cholesterol emboli. corn) pathological pressure. chloracne Closed: expansion of hair infundibulum by keratinous debris. reactive lymph nodes compressibility Smooth Even. usually referring to loss of pigment Halo melanocytic naevus British Journal of Dermatology (2016) 174.

European Academy of Dermatology and ILDS also provided valuable insights. dental sinus surface Stria Linear atrophy along tension lines. Nast et al. Australasian College of Dermatologists. often due to Lichen simplex chronicus rubbing Necrosis Death of tissue Septic emboli. for their valuable contributions. dermatomyositis. Kawasaki disease or a high fever Petechia Tiny pinpoint haemorrhage into the dermis Capillaritis (pigmented purpura). intra-arterial injections Keratoderma Thickening of the stratum corneum and/or Three major types of palmoplantar keratoderma: (i) epidermis of the palms and soles. Bulgarian Dermatological Soci- Caux. European Derma- participation in the online surveys. cockarde) Targetoid appearance Erythema multiforme. Harvey Lui. verruca Hyperkeratosis Thickening of the stratum corneum. ety. Glossary for the description of cutaneous lesions. Euro- © 2016 International League of Dermatological Societies and British Journal of Dermatology (2016) 174. and we thank all the ological Society. 1357 Table 3 (continued) Additional descriptive terms for cutaneous lesions Term Definition Clinical example(s) Horn Keratosis that resembles a horn Actinic keratosis.B. matology and Dermatologic Surgery.and hyperpigmentation Prurigo Papules or nodules due to scratching or picking Prurigo nodularis Purpura Haemorrhage into the skin due to pathological Solar (senile) purpura. distal digits following (exfoliation) scarlet fever. urticaria multiforme Morbilliform Measles Drug eruptions that are widespread and maculopapular Scarlatiniform Scarlet fever Drug eruptions that are widespread and confluent a Only term added at the suggestion of the journal reviewers. especially the Seborrhoeic keratosis. Ecuadorian Society of Dermatology. Chilean Society of piro (cochair) and Mihael Skerlev. . Croatian Dermatovenere- chair). Colombian Association of Der- Lars Ettarp (one of the authors – J. American Dermatological participants of the Glossary of Basic Dermatology Lesions Association. initially can be Striae gravidarum. squamous cell carcinoma (keratotic)a to a rough surface Infarct Ischaemia of tissue due to arterial occlusion Cholesterol or infectious emboli. often inherited diffuse. European Society for Photodermatology. centre of cutaneous metastases Peeling Desquamation (shedding) of the stratum corneum Resolving phase of a sunburn. primarily of blood vessels of topical corticosteroids. that often contains Tinea capitis due to Microsporum or Trichophyton spp. Agness Chakowa. due to infection. telangiectasia Mycosis fungoides. (iii) punctate Keratosis Focal thickening of the epidermis. American Soci- Rosumeck MA provided technical assistance. rosacea. including blood Telangiectasia Permanently dilated capillaries Actinic damage. We thank the ety for Dermatologic Surgery. We also thank the fol. pp1351–1358 the Authors. striae of body folds due to potent red to purple in colour (stria rubra) topical corticosteroids Swelling Enlargement due to accumulation of oedema or Angio-oedema fluid. thrombocytopenia Poikiloderma Simultaneous presence of atrophy. along with Eric Seban and Dermatology and Venereology. Spanish representatives from the national member societies for their Academy of Dermatology and Venereology. (ii) focal. American Academy of Dermatology. venous hypertension (lower extremities) Cutaneous lesions that resemble classical diseases or have unique appearances Lesions Classical disease(s) or appearance Example(s) Cocarde (cockade. primary systemic amyloidosis Sinus Tract leading from a deeper focus to the skin Hidradenitis suppurativa. The board members of the tology Forum. Tess Gabriel. Venereology. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists. pilonidal cyst. Caribbean Dermatology Association. overuse processes. usually leading Hypertrophic actinic keratosis. photoageing and hypo. British Workshop at the ILDS summit in Berlin in 2012: Drs Federic Association of Dermatologists. actinic keratosis stratum corneum Kerion Boggy plaque. small-vessel vasculitis. lowing societies and associations for their participation in the Acknowledgments first and/or second round of voting: Algerian Society of Der- Victor Czaika MD provided editorial assistance and Stefanie matology. pemphigoid gestationis Herpetiform Herpes simplex or herpes zoster Dermatitis herpetiformis Erythema multiforme-like Erythema multiforme Drug eruptions. A. cockarde (cockade) naevus. pustules Lichenification Accentuation of skin markings. – also served as co. Jerry Sha.

ucsf. 4 Werner RN.html (last accessed 19 January 2016). erysipelas cal Society of Thailand. Japanese Society for Investigative medical%20students%202nd%20Edition%202014%20Final2%282% Dermatology. Table 4 Additional terms: colour of cutaneous lesions Society of Dermatologic Surgery and Oncology. Verbov J. necrosis Dermatology – Pakistan. Transmitted Infections. Rosumeck S. basal cell carcinoma Association of Dermatologists. Available at: http://missinglink. Der- Violet Lichen planus. Venereologists and Leprologists. and their use in clinical guideline development. Available at: http://www. Health Yellow to yellow. Italian Society of Dermatology Medical. Venereologists and Leprologists. Association of Bangkok Alumni of Black Melanoma. Society of Dermatologists. International Society for Cutaneous Lymphomas. Nast A. pp1351–1358 © 2016 International League of Dermatological Societies and the Authors. morbilliform drug Dermatological Society of South Africa. International Skin Care Nursing acrochordon Slate gray Erythema dyschromicum perstans Group. [Using new media for online consensus conferences and open external review of guideli- a Not to be confused with the increase in pigmentation seen after nes – results of two pilot studies]. Saeed S et al. Rzany B. 5 Colaco S. J Eval Clin Pract 2014. Philippine Dermatological Society. Surgi- dents & junior doctors. . Tunisian Society of Dermatology and Salmon pink Pityriasis rubra pilaris Venereology. Jacobs A. Actinic Keratosis. Esthetical and Sexually Transmitted Diseases. Pakistan Association of Dermatolo- Brown Compound melanocytic naevus. 130:1–16. Dermatology: handbook for medical stu- Surgeons India. Lamping DL et al. Z Evid Fortbild Qual Gesundhwes exposure to natural or artificial ultraviolet radiation. 106:295–301.org. 1 Winkelmann RK. Online consensus conferences for clinical guidelines development – a survey among participants from the International Guidelines for the Treatment of pean Society of Contact Dermatitis. Dermatologi- Red Pyogenic granuloma.edu/lm/DermatologyGlossary/ Indian Society of Teledermatology. 1–88. Soci- Skin-coloured Epidermoid inclusion cyst. purpura matology Nurses’ Association. Association of Cutaneous index. The Inter- yellow-green national League of Dermatological Societies Committee on Nomen- Coral pink Erythrasma clature. British Journal of Dermatology (2016) 174. (all in lighter skin phototypes) Swiss Society of Dermatology and Venereology. Green to green-black Pseudomonas infection Pink Pityriasis rosea. International Society for Biophysics pityriasis alba and Imaging of the Skin. Consensus development White Well-developed lesions of vitiligo methods.1358 Glossary for the description of cutaneous lesions. Nast et al. (in German). German Dermatological Society.bad. melasma Dermatovenereology and Cosmetology. Lebanese Dermatological Society. ety for Investigative Dermatology. Serbian Association of Golden Serous crusts of impetigo Dermatovenereologists. Rosumeck S. 2012. Sporbeck B. South Asian Regional eruption. Japanese library-media/documents/Dermatology%20Handbook%20for%20 Dermatological Association. New Colour Clinical example(s) Zealand Dermatological Society. Association of Dermatologists. 2:i–iv. Indian interactive guide to clinical dermatology and dermatopathology. International Union Against Sexually postinflammatory hypopigmentation. idiopathic guttate hypomelanosis Yellow Xanthomas References Colour under Wood’s light Blue-green to Tinea capitis due to Microsporum spp. International Academy of intradermal melanocytic naevus. Dermatology glossary: an illustrated. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists. Cosmetic Dermatology. Dermatovenereology Association of Turkey. Venereologists and Leprologists of Nepal. 6 Chiang NYZ. Pityriasis (tinea) versicolor Technol Assess 1998. Slovak Dermatovenereological Society. tology. Hungarian Dermato. Glossary of basic dermatology lesions. Mexican 29. logical Society. International Society of Der- Tana Naevus depigmentosus. Cosmetic Dermatology Society of India. French Society of Derma.pdf (last accessed 19 January 2016). green 3 Nast A. Red Urine in some forms of porphyria 2 Murphy MK. lipoma. Acta Derm Venereol Suppl (Stockh) 1987. Russian Society of lait macule. Hong J. Women’s Dermatologic Society. Norwegian Society of Derma- Colour under natural light tology and Venereology. White Vitiligo. matopathology. 20:853–6.uk/ cal. A. Black NA. Inter- (ashy dermatosis) national Society of Dermatology. cafe au gists.