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Maceration vs excoriation

Macerate vs Excoriate - What's the difference? WikiDif

  1. As verbs the difference between macerate and excoriate is that macerate is to soften (something) or separate (something) into pieces by soaking (it) in a heated or unheated liquid while excoriate is to wear off the skin of; to chafe or flay. As a noun macerate is a macerated substance
  2. macerate ( third-person singular simple present macerates, present participle macerating, simple past and past participle macerated) To soften (something) or separate it into pieces by soaking it in a heated or unheated liquid. (archaic) To make lean; to cause to waste away. Immaculately macerated God
  3. Excoriation › Excoriation occurs when periwound skin is in contact with toxins from excess wound exudate for prolonged periods, which can strip the top layers and erode healthy periwound skin. Maceration and excoriation can cause pain and discomfort and enlarge the wound area. sponsored by the Eclypse® Super Absorbent dressing range 1
  4. Excoriation. In a layperson's terms, excoriation is called a scratch. It is similar to abrasion in that it is a partial thickness shearing of skin. With excoriation, however, the erosion is even more noticeably linear (line-like) because of the mechanical force that caused it
  5. Let's start with excoriation. What that is, is just linear erosion marks. Just as if a cat scratched you. Just a cat scratch, That would be a good example of that. And also denuded, that is when you have a loss of epidermis and it's related to, perhaps, wound drainage on the skin, feces, urine, even some friction. Hope that helps
  6. Maceration (moist peeling skin) Verrucous (warty). Excoriation — a loss of the epidermis and a portion of the dermis due to scratching or an exogenous injury. It may be linear or punctate. Erosion — a sore due to the superficial or partial destruction of surface tissue such as the skin

macerate vs excoriate - what is differen

Wound care

Traumatic Open Wounds: Let's Define the Types WCE

maceration or excoriation. Definition Description. 35 Partial thickness loss of dermis presenting as a shallow open ulcer with a red/pink wound bed, without slough. May also present as intact or open/ruptured blister. Presents as a shiny or dry shallow ulcer without slough or bruising.* skin tears, tape burns, associated dermatitis • Maceration - ↑ pH (ie. alkaline pH) - ↓ Protec ve barrier • Urine interacts with feces to activate fecal enzymes Urine incontinence alone - no significant factor in developing IAD Feces Fecal Enzymes - ↑ microbes/bacteria - ↑ protease ac vity - ↑ pH (ie, alkaline pH) - Feces interacts with urine to activate fecal. Intertrigo is a superficial inflammatory dermatitis occurring on two closely opposed skin surfaces as a result of moisture, friction, and lack of ventilation. Bodily secretions, including. What is excoriation? Picking at scabs or bumps from time to time isn't uncommon. But for some people, picking can become chronic. Frequent picking can irritate existing sores and even cause new. -excoriation -lichenification -maceration -fissure -erosion -ulcer Distinct Lesions -wheal/hive -burrow -comedone -atrophy -keloid -fibrosis -petechiae -telangiectasis -milium: Excoriation. Excoriation is a loss of skin due to scratching or picking.

Plaque

Wound Care Minute: What's the Difference Between

Excoriation: a punctate or linear abrasion produced by mechanical means (often scratching), usually involving only the epidermis, but commonly reaching the papillary dermis. [30] [33] Ulcer : An ulcer is a discontinuity of the skin exhibiting complete loss of the epidermis and often portions of the dermis and even subcutaneous fat Maceration Skin damage caused by super-saturation of the skin that is associated with pigmentation changes, even in people of color, but no erosion of the epidermis • Patients may complain of Itching which can lead to scratching and excoriation of the are

Use the term denuded for macerated skin impairments. Do not use the term excoriation unless there is linear erosion present. *You have a resident with a colostomy that has partial thickness, denuded skin to the peri stomal area. You first want to remove the cause This encompasses maceration, but also includes other types of superficial skin damage such as intertrigo, and the irritation or excoriation caused by irritant body fluids such as urine, wound fluid or faecal material and/or the presence of pathogenic micro-organisms, their toxins and metabolites and inflammatory cytokines Laceration (noun) An irregular open wound caused by a blunt impact to soft tissue. The doctor sewed up the laceration in his arm. Laceration (noun) The act of lacerating or tearing. Abrasion (noun) The act of abrading, wearing, or rubbing off; the wearing away by friction. First attested in the mid 17 th century. page=7 WCEI co-founder Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS demystifies two wound care terms that are often confused: excoriation vs. denuded.Wound Care.

Skin maceration is a term used to describe the oversaturation of the skin due to prolonged exposure to moisture. It may be caused by keeping the skin under the water for a long time (bathing, swimming) or preventing the escape of moisture from the skin, such as wearing a bandage for too long or wearing non-breathable materials Macerated vs excoriated skin Keyword Found Websites Keyword-suggest-tool.com DA: 28 PA: 37 MOZ Rank: 88 As nouns the difference between maceration and excoriation is that maceration is the act or process of macerating while excoriation is the act of excoriating or flaying

incontinence associated dermatitis (IAD), maceration or excoriation. Pressure ulcer Stage III Definition: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscle are not exposed. Slough may be present but does not obscure the depth of tissue loss. May includ White or maceration means there is too much moisture. The dressing needs to be changed more often or a skin barrier needs to be applied. feces, bodily fluids, wound exudate, or friction. Excoriation: Excoriation is the disruption of the epidermis or dermis caused by scratching, abrasion, chemical or thermal injury. Exposure to urine, feces. Frequent challenges in the periwound area include maceration, excoriation, dry (fragile) skin, and hyperkeratosis 4 (thickening of the outermost layer of the epidermis). The problems associated with exposure to exudate are termed periwound moisture-associated dermatitis and fall under the general category of moisture-associated skin. of maceration, and in this area is a superficial fissure 2cm along the mid-line very superficial excoriation between the 2 bony prominence injuries in an abrasion pattern so likely friction is a main risk factor in these pressure ulcer injuries..

Terminology in dermatology DermNet N

Excoriation of the skin refers to lesions on the surface of the skin, following a trauma. The blood and fluids that emerge from the surface form a thin crust, resulting in a skin lesion. There are two main types of lesions: primary and secondary.This occurrence is quite common in adults and children, following a slip, fall or rub against a wall Colorectal Surgery - 1 - Treating Skin Irritation . Around Your Stoma . When should I use a powder under my ostomy appliance? If the skin surrounding the stoma is irritated, open, red, sore, or there is a ras

Describe periwound skin (indurated, erythematous, macerated, healthy) Describe presence of excoriation, denudement, erosion, papules, pustules or other lesions; Induration - Abnormal hardening of the tissue caused by consolidation of edema, this may be a sign of underlying infection Prolonged wetness leads to maceration (softening) of the stratum corneum, the outer, protective layer of the skin, which is associated with extensive disruption of intercellular lipid lamellae. Weakening of its physical integrity makes the stratum corneum more susceptible to damage by (1) friction from the surface of the diaper, and (2) local.

Differentiating MASD from Pressure Ulcers WoundSourc

Difference Between Maceration and Percolation Compare

-maceration-excoriation-Decreased mental status-Diminished sensation-Excessive body heat-Advanced age-decreased lean body mass, elasticity, oil production-Poor lifting and transferring techniques-Incorrect positioning-Incorrect application of pressure-relieving devices irritation, maceration or erythema to peri-wound skin. Wound must be in moisture balance to activate Collagenase in the petrolatum base. Cover with appropriate secondary dressing for moisture balance. The dressing type will depend on the amount of exudate expected. To Remove Gently remove dressing; remove any loosened debris by gentl -excoriation -lichenification -maceration -fissure -erosion -ulcer Distinct Lesions -wheal/hive -burrow -comedone -atrophy -keloid -fibrosis -petechiae -telangiectasis -milium: Lichenification. Lichenification is an increase in skin lines & creases from chronic rubbing : Lesion Selectors > Excoriation or Stage II (Superficial open area) on buttocks: Calmoseptine BID x 14 days. Implement pressure redistribution measures. Excoriation or abrasions on the heels, elbows, or other areas: Apply A&D ointment, cover with a non-adherent pad and secure. Change daily. Keep pressure off that area as much as possible Key principles of assessing skin excoriation. You should be able to recognise different types of tissue and be able to differentiate between healthy tissue and damaged tissue. Identify if the lesion over a bony prominence. The most common way to decide whether a lesion is due to excoriation is to first of all make a visual assessment of the lesion

Excessive wound fluid can inhibit wound healing and can lead to maceration of the peri-wound skin, further breakdown, and excoriation and skin sensitivities if inappropriately managed as it can be corrosive in nature. The use of skin barrier preparations such as LBF should be considered to protect the delicate peri-wound area Anal intraepithelial neoplasia (AIN) is a superficial squamous-cell carcinoma usually associated with human papillomavirus (HPV) 16 and 18, often seen in HIV /AIDS. The clinical features are non-specific, presenting as a bleeding, well-defined red, scaly erythematous rash-like plaque on the perianal skin. Perianal dermatoses Shear is a mechanical force that acts on an area of skin in a direction parallel to the body's surface. Shear is affected by the amount of pressure exerted, the coefficient of friction between the materials contacting each other, and the extent to which the body makes contact with the support surface. 1 Think of this as pulling the bones of the pelvis in one direction and the skin in. excoriation: [ ek″sko-re-a´shun ] a scratch or abrasion of the skin

Nicole A. Stargell, Victoria E. Kress, Matthew J. Paylo, Alison Zins. Excoriation disorder, sometimes colloquially referred to as skin picking disorder, is a newly added disorder in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association [APA], 2013).Despite being a newly-classified DSM disorder, excoriation disorder is relatively common and. preventing exudate from leaking horizontally on to the surrounding skin, thus minimizing maceration and excoriation. Mepilex Transfer maintains a moist wound environment in combination with an appropriate secondary dressing. Intended use Mepilex Transfer is designed for a wide range of exuding and difficult-to-dress wounds. Mepilex Transfer can. Intertrigo is an inflammatory rash that occurs between skin folds as a result of friction, moisture, and lack of airflow. 1 It occurs on areas of the body where skin touches skin, such as the armpits, the groin, under the breasts, or within fat folds. The medical term for it is intertriginous dermatitis

Peristomal skin complications are common among people with ostomies. The peristomal skin is the skin right around the stoma. It's the skin that the ostomy wafer adheres to. In adults, the are of peristomal skin is approximately 4 x 4 inches around the stoma. People with ileostomies have the most skin complications, followed by people with. maceration or excoriation. 13. Category/Stage III: Ischium, Stage III NPUAP copyright & used with permission Full thickness skin loss (fat visible) Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed. Some slough may be present. May include underminin Cleanse the skin with a mild soap that's balanced to skin pH and contains surfactants that lift stool and urine from the skin. Clean the skin routinely and at the time of soiling. Use warm (not hot) water, and avoid excess force and friction to avoid further skin damage. Moisturize the skin daily and as needed Skin excoriation. Gastric secretions leaking around the gastrostomy can result in skin excoriation. There are two methods of minimising irritation to the skin: Use of a barrier ointment (better than cream) Recommended products include Calmoseptine™ ointment, Ilex™ barrier ointment, or a zinc ointment Excoriation vs. Bad Habit. There is a fine line between a nervous habit and a serious medical condition that requires intervention. So where is that line drawn? As with most mental disorders, it.

Medical Definition of Excoriation. 1. 1. The act of excoriating or flaying, or state of being excoriated, or stripped of the skin; abrasion. 2. Stripping of possession; spoliation. A pitiful excoriation of the poorer sort. (Howell) Origin: Cf. F. Excoriation Excoriation definition, the act of excoriating. See more

Definition. Partial thickness skin loss involving the dermis. May present as an open blister or shallow crater without slough or bruising. Stage 2 pressure ulcers happen because of pressure: therefore, the term/description stage 2 pressure ulcer should not be used to describe skin tears, tape burns, maceration, excoriation Description : SECURA Barrier Cream D contains 5% dimethicone and emollients 1, which when applied to the skin provides a breathable, transparent, non- greasy, protective barrier layer.This helps to protect the skin against maceration from prolonged exposure to faeces, urine and bodily fluids which may cause skin to break down Join or Log Into Facebook Email or Phone. Passwor For best results, Mepilex XT should overlap the dry surrounding skin by at least 1-2 cm for the smaller sizes (sizes up to 12.5 x 12.5 cm) and 5 cm for the larger sizes in order to protect the surrounding skin from maceration and excoriation and fixate the dressing securely. If required, Mepilex XT can be cut to various wound shapes. Do not. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles.Other names are the anal cleft, crena analis, arena.

Macerated Skin: Pictures, Causes, Treatment, and Preventio

Wound Assessment Forms In Wound Care skin amp wound policy care amp assessment, 7 wound care forms template fabtemplatez, wound care assessment amp management mate ineal dermatitis, maceration, or excoriation. (Figure 3) EWMA JOURNAL 2016 VOL 16 NO 1 19. Category/Stage III: Full Thickness Skin Loss. Subcutaneous fat may be visible, but bone, tendon, and muscle are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunnelling maceration & excoriation • Wet wounds with slough and bacteria need absorbent antimicrobial dressings and frequent dressing changes . Understand healability . Poor healability • Dry intact necrotic toes and heel wounds should be kept dry • This is to prevent bacteria entering th maceration or excoriation. 2018 Pressure Ulcers . Stage- II Partial thickness 2018 Pressure Ulcers . Stage-III Full thickness skin loss Loss of epidermis & dermis with tissue loss extended to the subcutaneous fat. Subcutaneous tissue may be visible but bone, tendon or muscle are not exposed. Slough may be present bu Effectiveness of Cotton vs. Waterproof Cast Padding. Skin Condition, Lack of Maceration / Excoriation, Cast Odor, Padding Condition, and Ease of Removal. These will be collected at baseline, 2, 6 and 12 weeks post-application..

A maceration (Lat. macerare = make wet) is a raw wet tissue. Red Rashes Erythema. Scratch (Excoriation) A scratch is a punctual or linear abrasion of the upper layer (epidermis) of the skin. Wound. A wound is a type of injury in which the skin is cut, torn or punctured. Erosion erations, abrasions, excoriation, inflammatory skin conditions and ulceration associated with vascular dis-ease may all render the skin vulnerable. The primary bacterial infections of the skin most commonly encountered in clinical practice are due to either Staphylococcus aureus or Streptococcus pyogenes, or both organisms together

Cut-to-fit skin barriers. Your output is liquid, soft, or mushy. Skin barriers designed to be more resistant to liquid stomal output. Your output is formed, or you change your skin barrier often. Skin barriers with gentle adhesion to limit skin damage from frequent changes. Your stoma sticks out, or you have a deep abdominal crease or hernia Dermatology for the Non-Dermatologist May 30 - June 3, 2018 - 2 - Fundamentals of Dermatology Daniel J. Van Durme, M.D. Papule: Raised lesion less than 5-10 mm (larger than 10mm plaque or nodule) (wart, actinic keratosis) Patch: a larger flat, nonpalpable lesion - or macule that is > 1cm, (some will still call these macules). Macerated (white/boggy from too much moisture) EpithelialTissue. Rolled/Epiboly. Hyperkeratotic/ Calloused. Exudate/Drainage. The amount of exudate you document will dictate the type and quantity of dressings you can order Light Exudate. Less than 5cc of wound fluid The outer layer of epidermal cells becomes over-hydrated, causing swelling, and the bonds between the skin tissue planes weaken, altering the skin's ability to withstand damage, particularly damage caused by friction. The outer layer of the epidermis can be stripped away, exposing the underlying dermis. This causes pain and increases the risk. What are the five types of wounds? National Athletic Trainers' Association. The five types of wounds are abrasion, avulsion, incision, laceration, and puncture. An abrasion is a wound caused by friction when a body scrapes across a rough surface. An avulsion is characterized by a flap. An incision is a cut with clean edges

Eczematous skin is especially susceptible to secondary infection and excoriation, which can cause variation in appearance and complicate the clinical picture. Intertrigo presents as erythematous, macerated skin that is commonly pruritic and painful. 21 The diagnosis of intertrigo is typically a clinical one, although microsco­py can. maceration or excoriation. *Bruising indicates suspected deep tissue injury UN (Unstageable): Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed. Further description: Until enough slough and/or eschar i cause maceration. Dry-time will be dependent upon the amount of exudate in the wound; if using in the sacral-coccxy area and a incontinent brief is required, allow to completely dry before apply the brief . Created by the British Columbia Provincial Nursing Skin & Wound Committee in collaboration with the Wound Clinicians from

The management and prevention of maceration must focus on the reason the skin is coming into contact with excess moisture. If urinary continence problems are the main issue, bladder and bowel function need to be improved or mechanical methods such as indwelling catheters should be used associated dermatitis, maceration or exc oriation.. Stage III: Full Thickness tissue loss (fat visible) Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are . not . exposed. Some slough may be present. May . include undermining and tunneling. Further description: The depth of a Category/Stage III pressure.

Maceration vs Excoriation - What's the difference? WikiDif

-excoriation -lichenification -maceration -fissure -erosion -ulcer Distinct Lesions -wheal/hive -burrow -comedone -atrophy -keloid -fibrosis -petechiae -telangiectasis -milium: Papule. A papule is a small superficial bump that is elevated & that is < 1 cm : Lesion Selectors > Maceration refers to the skin changes seen when moisture is trapped against the skin for a prolonged period. The skin will turn white or grey and will soften and wrinkle. This is a process that is purely moisture dependent and occurs as a result of over-hydration (constant wetness) [6] [7]

-excoriation -lichenification -maceration -fissure -erosion -ulcer Distinct Lesions -wheal/hive -burrow -comedone -atrophy -keloid -fibrosis -petechiae -telangiectasis -milium: Nodule. A nodule is a small bump with a significant deep component & is < 1 cm : Lesion Selectors > d. Macerated/soft e. Flush f. Epibole (Epiboly) - Rolled/curled under edges. Epithelial tissue migrates down sides of the wound instead of across. Edges that roll over will ultimately cease in migration secondary to contact inhibition once epithelial cells of the leading edge come in contact with other epithelial cells g -excoriation -lichenification -maceration -fissure -erosion -ulcer Distinct Lesions -wheal/hive -burrow -comedone -atrophy -keloid -fibrosis -petechiae -telangiectasis -milium: Erosion. An erosion is a superficial open wound with loss of epidermis or mucosa only : Lesion Selectors > For an ostomy pouching system to adhere properly, the skin around the stoma must be dry and intact. Otherwise, peristomal skin problems and skin breakdown around the stoma may occur. In fact, these problems are the most common complications of surgical stomas. They can worsen the patient's pain and discomfort, diminish quality of life, delay rehabilitation, increase use of ostomy supplies. •Also referred to as maceration. •MASD without skin erosion is characterized by red/bright red color, and the surrounding skin may be white. •MASD with skin erosion has superficial/partial thickness skin loss and may have hyper‐or hypopigmentation. MOISTURE ASSOCIATED SKIN DAMAG

Medical Definition of excoriation. 1 : the act of abrading or wearing off the skin chafing and excoriation of the skin. 2 : a raw irritated lesion (as of the skin or a mucosal surface Stage II does not describe skin tears, tape burns, perineal dermatitis, maceration or excoriation. Stage III—Indicates full-thickness tissue loss. Subcutaneous fat may be visible, but bone, tendon or muscle is not exposed. Slough may be present but does not obscure the depth of the tissue loss. There may be undermining and tunneling -excoriation -lichenification -maceration -wheal/hive -erosion -ulcer Distinct Lesions -wheal/hive -burrow -comedone -atrophy -keloid -fibrosis -petechiae -telangiectasis -milium: Burrow. A burrow is a small threadlike curvilinear papule that is virtually pathognomonic of scabie

Dermatology - Medicine Pharmacology with Mac Millan at

Moisture-Associated Skin Damage (MASD) WoundSourc

Peri-wound excoriation and/or maceration from wound exudate Severe skin damage from incontinence. Large surface area may be affected - oozing/bleeding may be present. Moderate to severe skin damage associated with fungal or bacterial infection. Maintenance of restored skin integrity Cleanse skin using an emollient as a soap substitute Cleanse. stoma. OBJECTIVE: The aim of this scoping review is to identify and provide a narrative integration of the existing evidence related to the management and prevention of moisture-associated skin damage (MASD). METHODS: Study authors searched several databases for a broad spectrum of published and unpublished studies in English, published between 2000 and July 2015. Selected study information. Pediatr Health. 2009;3(1):81-98. The three-part trial examined effectiveness against a model irritant (sodium lauryl sulfate [SLS]), protection from maceration and barrier to topical agents using.

Intertrigo and Secondary Skin Infections - American Family

Nursing Report Card Metrics - NDNQI Definitions - March 2012. Fall /per 1,000 Patient Days: A patient fall is an unplanned descent to the floor with or without injury to the patient, and occurs on an NDNQI eligible reporting nursing unit This category should not be used to describe skin tears, tape burns, incontinence associated dermatitis, maceration or excoriation. *Bruising indicates deep tissue injury Stage 2 Pressure Injury: Partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum. Stage II should not be used to describe skin tears, tape burns, incontinence associated dermatitis, maceration or excoriation. Category/Stage 3: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle is not exposed. Slough may be present but does not obscure the depth of tissue loss

Gastrostomy Care For Newborns - What You Need to KnowWound care management

Excoriation (Skin Picking) Disorder: What Is It

Askina ® Barrier Film is a rapid drying, transparent, breathable skin barrier that brings 48 to 72 hours protection to intact or damaged skin.. Prevents skin breakdown caused by moisture:. Protection of vulnerable areas or sensitive, fragile skin: heels, elbows, toes, hips; Protection of incontinent patients' skin; Protects skin at risk from maceration and excoriation Urostomy bags are secured directly to the skin. There can be a number of adverse incidents relating to this including skin irritation, reaction to adhesive, potential for drainage to be in contact with skin resulting in maceration or excoriation. A luer-lock system allows the bag to be secured away from the skin, protecting the skin integrity. 2 Otitis externa is an inflammatory process of the external auditory canal. In one recent study,1 otitis externa was found to be disabling enough to cause 36 percent of patients to interrupt their.

Excoriation - DermWe

skin tears, tape burns, perineal dermatitis, maceration, or excoriation. what integumentary issues can cause autonomic dysreflexia if below the level of SCI? ingrown toenails, burns, pressure ulcers, blisters, other trauma. what types of exudate are normal? serous, serosanguineous Staff and providers often mistakenly classify skin injuries caused by skin tears, tape burns, pemphigoid, maceration, excoriation, and perineal dermatitis as stage 2 pressure ulcers. It is.

Updates to wound coding

If wound breakdown has occurred, exudate can be heavy, risking peri-wound excoriation or maceration [68], and making the area sensitive and painful [53]. [worldwidewounds.com] Skin problems in this area start out as redness and swelling (rash) and can progress to vesicles or pimples with oozing, crusting or scaling. [myelitis.org]. than urinary incontinence (45.8% vs 29.7%, respectively, P.0875). Bliss and colleagues 10 reported that one-third of 152 patients in acute care or critical care had fecal inconti-nence. Antimicrobial use and Clostridium difficilediarrhea were associated with fecal incontinence in both groups. Ehman and colleagues 11 prospectively observed 45 pa WebMD explains the symptoms, treatment, and causes of skin picking disorder (excoriation), a condition in which people repeatedly try to pick at scabs, scars, and other areas of the skin Assessment and Management of Sacral Pressure Ulcers. Sacral pressure ulcers are caused when bone pinched the overlying tissues. The pelvis, hip or lower spine are usually to blame (i.e., ischium, greater trochanter, or sacrum). When the patient's body weight rests on one of these bones, it compresses the tissue and prevents blood from flowing. -excoriation -lichenification -maceration -fissure -erosion -ulcer Distinct Lesions -wheal/hive -burrow -comedone -atrophy -keloid -fibrosis -petechiae -telangiectasis -milium: Macule. A macule is a small spot that is not palpable & that is < 1 cm : Lesion Selectors >