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LCD Efloresensi Dr. PS 2014
LCD Efloresensi Dr. PS 2014
General
history
History taking
in dermatology
Special
history
GENERAL HISTORY
1. Race, geographical
4. Distribution :
• symmetrical, asymmetrical
• exposed area, sun exposed area
• scalp region, hand
• extensor aspect, flexor aspect
PRIMARY LESION
3. Depigmentasi no pigment
o. Vitiligo
Hipopigmentation
Hiperpigmentation
B. PAPULE
• Small solid elevation of skin generally < 0,5 cm in diameter.
• Papules may be flat-topped, dome shaped, or spicular
• Papules may result from localized hyperplasia of dermal or
epidermal cellular elements
C. PLAQUE
palpable, plateau-like elevation of skin, usually more than 2
cm in diameter and rarely more than 5 mm in height. Often
formed by a convergence of papules, as in psoriasis.
Well-defined, reddish,
scaling plaques
D. VESICLE
An encapsulated or epithelial
lined cavity containing liquid or
semisolid material (fluid, cells,
and cell products). A spherical
or oval papule or nodule may be a
cyst if, when palpated, is
resilient (feels like an eyeball).
- Comedo acne
- Telengiectasion
- Burrow scabies
SECONDARY LESION
Hypertrophic
scar
SHAPE, ARRANGEMENT
AND CONFIGURATION
Granuloma
annulare,tinea
Annular = Ring shaped
corporis,erythema
annulare centrifugum
Numular/discoid = Coin
Nummular eczema,
shaped with uniform
plaque-type
morphology from the
psoriasis,discoid lupus
edges to the center.
Scabies burrow,
poison ivy dermatitis,
Linear = straight line
lichen nitidus, lichen
planus(lesi multipel
Scarring alopecia
Localised alopecia areata
Tufted folliculitis
Diffuse alopecia
Diffuse alopecia is most often due to pattern balding, and more
prominent over the vertex of the scalp
Water/detergent
damage, Nail
Distal lamellar polish removers,
splitting; brittle nails Traumatic
removal or artificial
nails
Fissured tongue
Granulomatosa Cheilitis
Disorder of the oral mucosa
Hairy tongue
Geographic tongue
Disorder of the oral mucosa
Aphthous ulcer
Kaposi sarcoma
Examination of mucosa genitalia
Sebaceous gland
Pearly penile papules prominence
Manifestation of STD
Ulkus durum
Herpes genitalis
Dermatoses with a predilection for the
genitalia
Lichen planus
Psoriasis
Primary genital dermatoses
Lichen sclerosus