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Morphologic definitions for mucocutaneous vulvar lesions

Morphologic definitions for mucocutaneous vulvar lesions
Morphology Definition
Macule Small (<1 cm) area of color change; no elevation and nonpalpable.
Patch Large (>1 cm) area of color change; no elevation and nonpalpable.
Papule Small (<1 cm) palpable lesion.
Nodule Large (>1 cm) palpable lesion; usually dome shaped; margins may be distinct (sharp) or slope shouldered.
Plaque Large (>1 cm) flat-topped and palpable lesion.
Vesicle Small (<1 cm) fluid-filled blister; clear fluid.
Bulla Large (>1 cm) fluid-filled blister; clear fluid.
Pustule Small or large pus-filled blister; white or yellow fluid.
Cyst Small or large nodule with epithelial-lined central cavity containing solid, semisolid, or fluid-filled material.
Erosion Shallow defect limited to epidermis; the base of the defect may be red or covered by yellow crust. Erosions heal without scarring.
Ulcer Deep defect through the epidermis into the dermis; the base may be red or covered by yellow, blue, or black crust. Ulcers heal with scarring.
Fissure Thin (<2 mm wide), linear erosion into or through the epidermis.
Scale Gray or silver keratin proteins on the tissue surface that become white when moist; usually feels rough on palpation.
Crust Yellow, granular material overlying erosions; develops due to solidification of plasma proteins when the water component of plasma evaporates; crusts overlying ulcers may be blue or black due to heme pigment.
Excoriation Linear or angular erosions due to scratching.
Lichenification Red or skin-colored plaques with exaggerated skin markings due to chronic rubbing; excoriations are usually also present. The surface may be white when moist.
Eczema Erythematous, poorly marginated patches and plaques that demonstrate lichenification and/or evidence of epithelial disruption, such as erosions or crust.
Graphic 95851 Version 6.0

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