Difference between revisions of "Non-malignant skin disease"

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*Pruritus (itchness) -> mechanical trauma -> lichenification (thickened/leathery<ref>URL: [http://www.medterms.com/script/main/art.asp?articlekey=10131 http://www.medterms.com/script/main/art.asp?articlekey=10131]. Accessed on: 20 August 2010.</ref>.
*Pruritus (itchness) -> mechanical trauma -> lichenification (thickened/leathery<ref>URL: [http://www.medterms.com/script/main/art.asp?articlekey=10131 http://www.medterms.com/script/main/art.asp?articlekey=10131]. Accessed on: 20 August 2010.</ref>.


Note:
*Similar to ''prurigo nodularis'' (PN), [[AKA]] ''chronic prurigo'' and ''picker nodule''.<ref name=Ref_Derm26>{{Ref Derm|26}}</ref>
**PN can be thought of as a localized/focal version of LSC.
**PNs are dome-shaped/raised - papular (<1 cm) ''or'' nodular (>1 cm).<ref>URL: [http://www.pediatrics.wisc.edu/education/derm/text.html http://www.pediatrics.wisc.edu/education/derm/text.html]. Accessed on: 23 August 2012.</ref>


===Microscopic===
===Microscopic===
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*Spongiosis (epidermal intercellular edema -- cells appear to have a clear halo around 'em).
*Spongiosis (epidermal intercellular edema -- cells appear to have a clear halo around 'em).
*Parakeratosis = retention of nuclei in the stratum corneum.
*Parakeratosis = retention of nuclei in the stratum corneum.
DDx:
*[[Prurigo nodularis]] - focal process (nodule or papule).


Images:
Images:
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- Negative for malignancy.
- Negative for malignancy.
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==Prurigo nodularis==
*Abbreviated ''PN''.
*[[AKA]] ''chronic prurigo'' and ''picker nodule''.<ref name=Ref_Derm26>{{Ref Derm|26}}</ref>
===General===
*Can be thought of as a localized/focal version of [[lichen simplex chronicus]] (LSC).
===Gross===
*Dome-shaped/raised - papular (<1 cm) ''or'' nodular (>1 cm).<ref>URL: [http://www.pediatrics.wisc.edu/education/derm/text.html http://www.pediatrics.wisc.edu/education/derm/text.html]. Accessed on: 23 August 2012.</ref>
===Microscopic===
*See ''[[lichen simplex chronicus]]''.
DDx:
*[[Lichen simplex chronicus]] - more diffuse process.


=Very common=
=Very common=
48,474

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