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« Back to General Dermatology FAQs

Morphology of Primary and Secondary Skin Lesions

» Why do dermatologists use words that no one else understands?
» But why are the descriptions so long?
» How can I possibly learn the language of dermatology?
» What is a primary skin lesion?
» How is each of the primary lesions defined?
» How do you determine whether a lesion is flat or raised?
» How does a primary lesion differ from a secondary lesion?
» How are secondary skin lesions defined?
» What is a maculopapular eruption?
» Give some examples of special skin lesions.
» What are telangiectasias?
» Are telangiectasias pathognomonic for a certain disease?
» What is a burrow?
» What is a comedo?
» What is the difference between petechiae and purpura?
» What are targetoid (target) lesions?
» List some of the additional descriptive adjectives used in dermatology that refer to color or pigmentation.
» How do atrophy and lichenification differ?
» Do skin diseases have characteristic arrangements or configurations?
» What is the Koebner phenomenon?
» Do skin diseases characteristically occur in certain locations?

 
 
   

What is the Koebner phenomenon?


Koebner (isomorphic) phenomenon. Patient with acute
explosive psoriasis demonstrating restriction of lesions to the site of
minor trauma in the form of a sunburn. (Courtesy of the William L.
Weston, M.D. collection.)
Fig. 2.8 Koebner (isomorphic) phenomenon. Patient with acute explosive psoriasis demonstrating restriction of lesions to the site of minor trauma in the form of a sunburn. (Courtesy of the William L. Weston, M.D. collection.)

Traumatizing the epidermis of a patient with a certain preexisting skin disease will cause the same skin disease to form in the traumatized skin. Noticing this skin finding is helpful when creating a differential diagnosis. Only certain diseases are associated with a Koebner phenomenon; lichen planus, lichen nitidus, and psoriasis (Fig. 2-8) are examples.

 
 
 
     
 

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