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Papule

From Wikipedia, the free encyclopedia
Small, circumscribed, solid elevation of skin with no visible fluid
Contrast with "macule" and other lesions atSkin condition § Primary lesions.
Medical condition
Pastule
Fibrous papule of the nose
Pronunciation
SpecialtyDermatology[2]
SymptomsSmall, well-defined bump inskin[2]

Apapule is a small, well-defined bump in theskin.[2] It may have a rounded, pointed or flat top, and may have adip.[2] It can appear with astalk, be thread-like or lookwarty.[3] It can be soft or firm and its surface may be rough or smooth.[2] Some havecrusts orscales.[2] A papule can be flesh colored, yellow, white, brown, red, blue or purplish.[4] There may be just one or many, and they may occur irregularly in different parts of the body or appear in clusters.[2] It does not contain fluid but may progress to apustule orvesicle.[2] A papule is smaller than anodule; it can be as tiny as a pinhead and is typically less than 1 cm in width, according to some sources,[2][3] and 0.5 cm according to others.[4] When merged together, it appears as a plaque.[4]

A papule's colour might indicate its cause, such as white inmilia, red ineczema,yellowish inxanthoma and black inmelanoma.[2] They may open when scratched and become infected and crusty.[5]

Definition

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Papule and plaque

A papule is a small, well-defined bump in theskin.[2] It is smaller than anodule; it can be as tiny as a pinhead and is typically less than 1 cm in width, according to some sources,[2][3] and 0.5 cm according to others.[4]

Evaluation

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A papule may have a rounded, pointed or flat top, and may have a dip.[2] It can be polygonal but is never rectangular or square.[6] It can appear with astalk, be thread-like or lookwarty.[3] Ulceration, oozing, bleeding or thin blood vessels may be present in a papule.[6] It can be soft or firm and its surface may be rough or smooth.[2] Some havecrusts orscales.[2] A papule can be flesh colored, yellow, white, brown, black, blue or purplish, or varying shades of red.[4][6] The intensity of redness might indicate how long the papule has been present.[6] There may be just one or many, and they may occur irregularly in different parts of the body or appear in clusters.[2] It may progress to a pustule or vesicle.[2]

Differential diagnosis

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Angiofibromas are papules, types of which include the usually solitaryfibrous papule of the nose andperiungual angiofibroma, and multiple inpearly penile papules, and thefacial angiofibromas as may be seen intuberous sclerosis.[7]

Papules with scale on the palms and soles may occur insecondary syphilis,psoriasis,eczema,tinea manuum,mycosis fungoides.[6] Inlichen planus papules may be itchy, flat-topped, polygonal, purplish with white streaks, and can be solitary, or occur in clusters or in a line.[6]

See also

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References

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  1. ^"Papule definition and meaning - Collins English Dictionary".
  2. ^abcdefghijklmnopqJames, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020)."2. Cutaneous signs and diagnosis".Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Elsevier. p. 11.ISBN 978-0-323-54753-6.
  3. ^abcdOakley, Amanda."Terminology in dermatology".dermnetnz.org. Retrieved20 September 2021.
  4. ^abcdeDinulos, James G. H. (2019)."1. Principles of diagnosis and anatomy".Habif's Clinical Dermatology (7th ed.). Elsevier. p. 4.ISBN 978-0-323-61269-2.
  5. ^"papule" atDorland's Medical Dictionary
  6. ^abcdefAllen, Herbert B. (2010). "1. Papulosquamous diseases".Dermatology Terminology. Philadelphia: Springer. pp. 1–13.ISBN 978-1-84882-839-1.
  7. ^Paller, Amy S.; Mancini, Anthony J. (2020)."9. Cutaneous tumors and tumor syndromes".Clinical Pediatric Dermatology: A Textbook of Skin Disorders of Childhood and Adolescence (6th ed.). St Louis, Missouri: Elsevier. p. 251.ISBN 978-0-323-54988-2.
Skin lesion terminology
Macroscopic
Primary lesions
Secondary lesions
Microscopic
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