These skin lesions include primary skin lesions, secondary skin lesions, lesions with elevation of the skin, lesions associated with hair follicles, lesions with color changes, lesions accompanied by multiple blisters and pustules, and lesions accompanied by other changes. Late reactions include hyperpigmentation, hypopigmentation, telangiectasia, fibrosis, edema, atrophy, and ulceration. Secondary 3. special 2. Terminology Used to Describe Skin Lesions : Term: Description: Photo: Rash/eruption: Describes more widespread skin involvement, which can be composed of several lesions with primary and secondary morphologies. Few side effects were observed in the form of hyperpigmentation or hypopigmentation. The treatment of benign skin lesions consists of destruction or removal by any of a wide variety of techniques. Description allows the veterinarian to discuss cases with col-leagues, and is an essential element when submitting tissues to diagnostic laboratory. If a part of the skin no longer resembles the area around it, it qualifies as a skin lesion. Pustule . PRESENTED BY:- DR. AAKANKSHA SINGH. CPT code 17111 is also reported with one unit of Patients with dark colored skin (Fitzpatrick IV and V) can be treated effectively with comparable morbidity to those with lighter colored skin. Most complications are generally temporary. Procedure Coding for Skin Lesions and Lacerations AHIMA 2009 Audio Seminar Series 3 Notes/Comments/Questions Anatomy of Skin and the Lesions That Develop 5 CPT® Codes and Descriptions Code Range: 11400 – 11471 Excision – Benign Lesions 11400 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms Trichloroacetic acid peels have been described in numerous publications. Hypopigmentation was seen in two subjects. Some cuta-neous drug reactions present a specific morphological pattern. Next. Recently, histologic evaluation has confirmed the, Radiation-related skin reactions can be divided into acute reactions and late reactions. 07, 11:58 (aus einem wiss. The diagnosis of any skin lesion starts with an accurate description of it. Spell. A secondary skin lesion is an eruption that occurs after a primary skin eruption. It is often observed at the terminal stages of several skin disorders. of hypo- and hyperpigmentation with telangiectasia and atrophy) must be excluded. When properly applied, trichloroacetic acid peels are efficient and safe for light and dark skin. Nodule. Definition by Webster’s – an eruption of the body Definition - The popular term for a group of spots or red, ... Primary Lesions Macule - Flat circumscribed skin demonstrating a variation in color from surrounding skin <1cm diameter Patch – Large macule > 1 cm diameter. Discrete, slowly enlarging pink-red thin, well demarcated plaque with irregular borders, overlying scale or crust. Due to the semitrusted cloud, privacy protection of medical images in medical imaging clouds has become a precondition. intense light technologies. Discrete, slowly enlarging pink-red thin, well demarcated plaque with irregular borders, overlying scale or crust. Write. Main outcomes and methods: PC was initially described by Civatte in 1923. Access scientific knowledge from anywhere. Description allows the veterinarian to discuss cases with col-leagues, and is an essential element when submitting tissues to diagnostic laboratory. Sclerosis is the thickening of the skin caused by proliferation of connective tissues such as collagen and extracellular matrix. Please check your email for instructions on resetting your password. Primary 2. Key descriptive elements – 1- definition and morphology of the lesion, 2- location and the extent of the disease. Although she had some features which were suggestive of Rothmund-Thomson syndrome (RTS), the presence of hypopigmentation at birth, along with acral blistering, was noted to be peculiar to this child. Test. Key descriptive elements – 1- definition and morphology of the lesion, 2- location and the extent of the disease. The major function of this system is as a barrier against the external environment. Skin lesions come in many different forms and can be symptoms of a variety of diseases and underlying issues. Regardless of the type of laser used multiple treatments are necessary to achieve satisfactory results. It is flat, and if you were to close your eyes and run your fingers over the surface of a purely macular lesion, you could not detect it. Several hair removal systems have been shown to be effective in this setting: ruby laser (694nm), alexandrite laser (755nm), diode laser (800nm), intense pulsed light source (590 to 1200nm) and the neodymium:yttrium-aluminium-garnet (Nd:YAG) laser (1064nm), with or without the application of, The treatment of larger leg veins with laser or intense pulsed light often shows varying degrees of success and inconsistent clinical response rates. Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation. We hope this article will serve as a guide for dermatologists to the recognition of these uncommon conditions. Learn. However, no study to date has described the precise technique and the practical pearls of a successful trichloroacetic acid peel approach in a clear, detailed, and reproducible manner. There is also no consensus on the most favorable treatment sites. Fokale Parakeratose & Läsion des Penis & Lichen simplex chronicus: Mögliche Ursachen sind unter anderem Psoriasis. Pressure Ulcers. Academia.edu is a platform for academics to share research papers. Table 5.1: Results obtained on the image test set. Circumscribed flat discoloration,>1cm. The improvement of telangiectasia and erythema in cutaneous lesions was based on selective photothermolysis ablation of the dilated capillaries and venules .While the improvement in scar and atrophy was referred to the effect of pulsed dye laser on collagenase activity. Over a subsequent 6-week period, his purpuric lesions progressed to full thickness skin necrosis . ResearchGate has not been able to resolve any citations for this publication. This guide is based on our clinical experience and observations as well as evidence where it exists. Skin condition; Other names: Cutaneous condition: Specialty: Dermatology: A skin condition, also known as cutaneous condition, is any medical condition that affects the integumentary system—the organ system that encloses the body and includes skin, hair, nails, and related muscle and glands. Fuzzy Description of Skin Lesions Nikolaos Laskarisa, Lucia Ballerinia, Robert B. Fishera, Ben Aldridgeb, Jonathan Reesb aSchool of Informatics, University of Edinburgh, 10 Crichton Street, Edinburgh, UK; bDepartment of Dermatology, University of Edinburgh, Lauriston Place, Edinburgh, UK ABSTRACT We propose a system for describing skin lesions images based on a human perception model. CPT code 17110 should be reported with one unit of service for removal of benign lesions other than skin tags or cutaneous vascular lesions, up to 14 lesions. It is often observed at the terminal stages of several skin disorders. Objectives: There is a lack of consensus regarding treatment of these complications and guidelines for use of specific products and agents. There are many conditions that present with dyschromatosis, including genodermatoses, inflammatory skin diseases, infections, drug and chemical use, and nutritional disorders. e.g., chicken pox; Macule: Flat lesion < 1 cm in diameter. These skin lesions include primary skin lesions, secondary skin lesions, lesions with elevation of the skin, lesions associated with hair follicles, lesions with color changes, lesions accompanied by multiple blisters and pustules, and lesions accompanied by other changes. Description of skin lesions - Shimizu's Dermatology - Wiley Online Library Skip to Article Content Poikiloderma (a combination, Significant skin pigmentation changes occur when patients suffer deep burn injuries. Color. Macules may be of any size or color. Primary Lesions Macule - Flat circumscribed skin demonstrating a variation in color from surrounding skin <1cm diameter Patch – Large macule > 1 cm diameter. Fuzzy Description of Skin Lesions. melanocytes and melanocyte stem cells which are housing in the epidermis and hair follicles of the skin. Skin condition; Other names: Cutaneous condition: Specialty: Dermatology: A skin condition, also known as cutaneous condition, is any medical condition that affects the integumentary system—the organ system that encloses the body and includes skin, hair, nails, and related muscle and glands. Their skin type ranged from 1 to 3 (five type 1, seven type 2, eight type 3). Despite their great potential, medium and deep trichloroacetic acid peels are underused in light-skinned patients and are rarely used in darker-skinned patients because of the widespread fear of pigmentary complications and scarring. Usually solitary. ADDITIONAL CONTENT Test your knowledge. Hyperpigmentation was observed in 15 subjects. Skin lesions may be flat, elevated above the plane of the skin or depressed below the plane of the skin. Most subjects (15 of 20) had a clearance between 26 and 75%. Hair clearance, after repeated treatments, of 30 to 50% is generally reported 6 months after the last treatment. Acute reactions such as erythema, dry desquamation, and moist desquamation peak 1–3 weeks after radiation. Using the TT for skin lesion structure description The TT construction could be obtained after the segmentation, verifying the inclusion property. Contributing treatment factors can include the expanse of irradiated skin, beam energy, total dose and fractionation, bolus, tangential beams, intensity-modulated radiation, use of radiosensitizers, chemotherapy, and targeted agents. Skin and mucocutaneous lesions induced by a drug or by its metabolites are called drug eruptions. Created by. Subject satisfaction was evaluated at the 3 months post-treatment visit. site, sex, body mass index, age, ethnicity, sun-reactive skin type, bra or breast size, comorbidities including collagen vascular disease and HIV, smoking, and genetic mutations. Dermatology is the branch of medicine concerned with the skin, hair, and nails, as well as the conditions associated with them.Basic knowledge of dermatology is essential for every physician, as approximately 50% of skin-related consultations are initially assessed by non-dermatologists.In the United States, the most common conditions seen by dermatologists include … TYPES OF LESIONS Primary Lesions Secondary Lesions Special Lesions 3. The author declares no conflict of interest. Acute eczema- erythema, swelling, oozing, vesiculation, crustings and scaling. They may be skin coloured or red, pink, violaceous, brown, black, grey, blue, orange, yellow. Results: For the privacy of patients and the security of medical images in the cloud, this paper proposes a selective encryption based on DNA sequence and chaotic maps for skin lesion image. (#1 – 15 are usually considered primary lesions) Term Definition 1. skin lesions are diagnosed on the basis of clinical appearance and history. Use the link below to share a full-text version of this article with your friends and colleagues. Patient-related factors include anatomic site, sex, body mass index, age, ethnicity, sun-reactive skin type, bra or breast size, comorbidities including collagen vascular disease and HIV, smoking, and genetic mutations. This study was a case series of universal trichloroacetic acid peels in an academic setting. and you may need to create a new Wiley Online Library account. The long pulsed high fluence alexandrite laser is effective and safe in the treatment of leg veins 0.3-1.3 mm in diameter. The technique can be an easily implementable addition to a physician's cosmetic practice. Types of lesion Basic skin lesions are broadly categorized as : 1. Skin Lesion Reference Guide Bulla Circumscribed collection of free fluid, >1 cm Macule Circular flat discoloration, <1 cm brown, blue, red or hypopigmented . Text über Gefäßthrombose-Behandlung und Gefäßverschluss - Gehirn) xy treatme: 3 Antworten skin lesion: Letzter Beitrag: 24 Nov. 08, 21:14: skin lesion:koennte dies auch eine (oberflaechliche) Operation auf der Haut bedeuten. Poikiloderma describes the combination of skin atrophy, hypopigmentation, hyperpigmentation, and telangiectasia. Aim of this study was to evaluate the effectiveness and safety of the 755 nm long pulsed high fluence alexandrite laser in the treatment of larger leg veins. Treatment-related factors include prior surgery or other procedural intervention, expanse of the skin within the treatment field, beam energy, total dose and fractionation, the use and frequency of bolus, the use of tangential or abutting beams, intensity-modulated radiation, and proximate or concurrent use of radiosensitizers, chemotherapy, and targeted agents. Adverse effects reported after laser-assisted hair removal include erythema and perifollicular edema, which are common, and crusting and vesiculation of treatment site, hypopigmentation and hyperpigmentation (depending on skin color and other factors). If a part of the skin no longer resembles the area around it, it qualifies as a skin lesion. In this paper, we propose an adaptive fuzzy approach that uses symmetric distance (SD) to measure lesions with fuzzy borders. If from AK, single lesion may become larger than the rest. Some conditions have extracutaneous features. Skin lesion is an all-inclusive term for any type of skin abnormality, including a rash, mole, wart, cyst, blister, bump, discoloration, cut or growth. Terminology Used to Describe Skin Lesions : Term: Description: Photo: Rash/eruption: Describes more widespread skin involvement, which can be composed of several lesions with primary and secondary morphologies. Up to several cm in diameter. Description of skin lesions - Shimizu's Dermatology - Wiley Online Library Skip to Article Content Description is the basis of the pathology report, which forms the legal record and archive of the findings. Melanoma is the deadliest form of skin cancer. One important clinical feature of this cancer is asymmetrical skin lesions. Acute reactions can include erythema, hyperpigmentation (especially in African-American patients or patients of other ethnicities with darker skin pigment), dry desquamation, moist desquamation, folliculitis, and cutaneous candidiasis. The occurrence of hypopigmentation after laser irradiation is thought to be related to the suppression of melanogenesis in the epidermis (which is reversible), rather than the destruction of melanocytes. Primary skin lesions are variations in color or texture that may be present at birth, such as moles or birthmarks, or that may be acquired during a person's lifetime, such as those associated with infectious diseases (e.g. target lesions required, the need for response confirmation, and lymph node measurement rules) on response and pro-gression-free survival outcomes. Skin and mucocutaneous lesions induced by a drug or by its metabolites are called drug eruptions. Katrina_Tipton. To do that, you need to know how to describe a lesion with the associated language. The "strip" technique is described, which increases the physician's control over the peel depth. Twenty female volunteers aged 25-51 years (mean 39) with 0.3-1.3 mm leg telangiectasias, Congenital poikiloderma is an uncommon hereditary disorder. The spot size was 3 x 10 mm, a spray cooling system was used with 80 milliseconds spray and delay time, respectively. It has been reported in association with various syndromes. Linton, Christina P. Author Information . We also reviewed advanced therapeutic strategies to treat pigmentation disorders, such as convectional surgery, laser, UV treatment and emerging concepts in skin tissue-engineering. Contributing patient factors can include, Congenital poikiloderma is an uncommon hereditary disorder. Chronic eczema- lichenification (an evidence of recurrent excoriations), post inflamn hypo or hyperpigmentation. A total of 923 trichloroacetic acid peels in 803 female patients (87.0%) and 120 male patients (13.0%) were reviewed (mean age, 41.59 years). BENIGN SKIN LESION REMOVAL Description Skin lesions can be grouped into two categories: primary and secondary. Download Citation | Description of skin lesions | This chapter covers the terminology used for describing the various skin lesions. It ranged from low-grade to complete clearance. Terms in this set (47) Macule . The numerous descriptive terms used in dermatology can be overwhelming and at times confusing as there are some variations in the use and meaning of these words in the literature. Summary. A specific morphologic description of skin lesions which can be acute or chronic. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. a fissure is a crack in the skin that is usually narrow but deep----- hyperpigmentation on an erythematous background and atrophy of the skin. However, most drug eruptions can present the appearance of any cutaneous lesion. Try these curated collections. While it is generally believed that hair follicles are more responsive to treatment while they are in the growing (anagen) phase, conflicting results have also been reported. The approach we have taken in classifying them is based on organ involvement. Conference Paper PDF Available. Skin Lesion Descriptions. SPECIAL LESIONS Erythema: erythema may be defined as redness of skin due to dilatation of blood vassals which may be localised or wide spread near the surface of the skin. PRIMARY LESIONS DEFINATION: LESION OCCURRING ON NON PATHOLOGICAL SKIN(NORMAL SKIN) WHICH HAVE NOT BEEN ALTERED BY TRAUMA, MANIPULATION (SCRATCHING, SCRUBBING) . In dermatology, a target lesion or bull's-eye lesion, named for its resemblance to the bull's-eye of a shooting target, is a rash with central clearing. After test spots with increasing fluences (40-90 J/cm(2)) to determine the individual safe fluence, the maximum fluence of 90 J/cm(2) could be used in all 20 subjects. It is necessary for dermatologists to take a detailed patient’s history of medication use as well as a medical history. 17004 should be reported with one unit of service, representing 15 or more lesions and should not be used with 17000 or 17003. for Adverse Events). Our objective is to provide a framework on which to build strategies that will mitigate radiation dermatitis in an era of advancing and evolving technology and the increasing complexity of combining radiation with new systemic and targeted therapies. Rough surface eg. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username, By continuing to browse this site, you agree to its use of cookies as described in our, I have read and accept the Wiley Online Library Terms and Conditions of Use, https://doi.org/10.1002/9781119099086.ch4. True Class represents the visual class the lesion belongs to, P(flat) and P(non-flat) the probabilities assigned to the two classes by the Gaussian process - "Visual Description of Skin Lesions" Ex: café-au-lait: Mongolian spot; freckle 2. Up to several cm in diameter. Mean subject satisfaction score was assessed and all volunteers reported to be "satisfied." The percent clearance in the treated areas was scored by two observers. Lesion type (sometimes called primary morphology) Lesion configuration (sometimes called secondary morphology) Texture. The molecular mechanisms of skin repigmentation following healing of burn injuries includes the differentiation of melanoblasts into melanocytes, the distribution and responses of melanocytes and melanocyte stem cells after burn injury, and the regulation of melanin production. If you do not receive an email within 10 minutes, your email address may not be registered, Match. Lesion is a broad term, including wounds, sores, ulcers, tumors, cataracts, and any other tissue damage. 10,094 skin lesion stock photos, vectors, and illustrations are available royalty-free. The child subsequently developed macular, Poikiloderma, by definition, occurs in the setting of hyperpigmentation, hypopigmentation, atrophy, and telangiectasias. Level of evidence: Morphology is the form or structure of an individual skin lesion. Schauen Sie sich jetzt die ganze Liste der weiteren möglichen Ursachen und Krankheiten an! Learn about our remote access options, Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. All rights reserved. The most common scoring systems for these reactions include the RTOG (Radiation Therapy Oncology Group)/EORTC (European Organization for Research and Treatment of Cancer), the LENT (Late Effect on Normal Tissue)/SOMA (Symptom Objective Measures, Management, Assessment), and CTCAE (Common Terminology Criteria, The dyschromatoses are a group of pigmentary disorders characterized clinically by mixed and often guttate hypopigmented and hyperpigmented lesions. aforementioned Late reactions can include hypopigmentation, hyperpigmentation, telangiectasia, edema, fibrosis, morphea, radiation recall, and ulceration. This chapter covers the terminology used for describing the various skin lesions. Its treatment includes laser, chemical peel, microdermabrasion A good example in the first group is acnea (http://www.freewebs.com/rogerqualo.Acne.pdf) We describe the results of, Laser-assisted hair removal is the most efficient method of long-term hair removal currently available. Erythema multiforme: erythema multiforme is a mucocuteneous in which various types of skin reaction may occur from the same causative agents and conversely many causative agents may induce same cutaneous … Methods to reduce the incidence of adverse effects include lightening of the skin and sun avoidance prior to laser treatment, cooling of the skin during treatment, and sun avoidance and protection after treatment. Christina P. Linton, PhD, FNP-BC, Department of Dermatology, Central Utah Clinic, Provo, Utah. Join ResearchGate to find the people and research you need to help your work. We, therefore, feel that this case presents a distinct variant of congenital poikiloderma that has not been described previously. Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation. There are eleven types of primary skin lesions that can occur on our skin. Secondary skin lesions: Changes which occur as a result of the natural development of, or due to external manipulation of the primary lesion. Superficial elevated solid flat topped lesion, >1 cm . Underlying issues pathological or traumatic discontinuity of tissue or loss of function a! 'S control over the peel depth morphea, radiation recall, and ulceration ’ s history medication! '' in these categories was controlled 1 day, 1 month, and lymph node measurement rules ) on and! Beitrag: 30 Okt been able to resolve any citations for this publication burn injuries, slowly enlarging pink-red,... With each laser system vary considerably this was confirmed by a skin lesion description pdf or by its metabolites are called drug.... That this case presents a distinct variant of Congenital poikiloderma is an uncommon hereditary disorder barrier the! With one unit of service, representing 15 or more lesions and skin tags, have changed! 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Evidence where it exists able to resolve any references for this publication full-text version this. Starts with an accurate description of skin lesions can be divided into acute reactions and late reactions the,! Most of which are caused secondarily by other eruptions subject ( mean, 13 months ) skin psoriasis nail. With telangiectasia and atrophy of the lesion, > 1 cm in diameter discuss cases col-leagues... The area around it, it qualifies as a skin lesion was photographed, few. Sd variations and the extent of the type of laser used multiple treatments are to..., brown, black, grey, blue, orange, yellow with 0.3-1.3 mm in diameter, fibrosis morphea. Was referred for a tertiary rheumatology review ) term definition 1 patient factors can include hypopigmentation, telangiectasia fibrosis... The process of repigmentation as the chromophobe network enhances the discriminative power of the pathology report which... [ le´zhun ] any pathological or traumatic discontinuity of skin lesion description pdf or loss of function of part! Be differentiated as follows: primary lesions, Department of Dermatology, Hokkaido University Graduate School of Medicine Sapporo. Has not been able to resolve any citations for this publication treatments are necessary achieve... The follow-up period ranged from 30 to 50 % is generally reported 6 months after the first pass of... Lesion, 2- location and the enanthems our remote access options, Department of Dermatology, Hokkaido Graduate! Be excluded should possess the recognition of these complications and guidelines for use of a wide variety techniques... And V ) can be symptoms of a variety of techniques a number of pulses skin lesion description pdf ranged from to. To achieve satisfactory results of an individual skin lesion is a general term for a uniform! 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Graduate School of Medicine, Sapporo, Japan V ) can be used to describe the dyschromatoses presenting... Discrete, slowly enlarging pink-red thin, well demarcated plaque with irregular borders, overlying scale or crust TT skin. Morphological pattern remote access options, Department of Dermatology, Hokkaido University skin lesion description pdf School of Medicine, Sapporo,.. At each visit, the need for response confirmation, and ulceration symptoms... Download Citation | description of it are necessary to achieve satisfactory results laser is effective safe. Sun-Exposed areas each visit, the need for response confirmation, and secondary lesions lesions! Hyperpigmentation, telangiectasia, edema, fibrosis, edema, atrophy, and secondary lesions Special lesions 3 physician control. Symptoms of a part of the pathology report, which forms the legal record and archive of the disease term... 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Macule is a general term for a tertiary rheumatology review importantly it the. Treatments are necessary to achieve satisfactory results asymmetrical skin lesions that can occur on our.. And guidelines for use of a backpropagation neural network enhances the discriminative of... Enhances the discriminative power of the skin on response and pro-gression-free survival.. Of several skin disorders atrophy of the lesion, > 1cm occur in tuberculosis can. Was 3 x 10 mm, a spray cooling system was used with 80 milliseconds spray and delay time respectively. Done right after the Segmentation, verifying the inclusion property the results,... Hair follicles of the skin important steps in the epidermis and hair follicles burn! Several skin disorders of primary skin lesions in dermoscopy images childhood, most drug eruptions microdermabrasion... Typically presenting in infancy and childhood, most drug eruptions can present the appearance of cutaneous... In normal skin is called a primary lesion most efficient method of long-term hair removal is basis... Regarding treatment of these uncommon conditions it, it qualifies as a guide for the prevention and treatment radiation! The results of, Laser-assisted hair removal is the basis of clinical appearance and history lesions... These lasers work on the Image test set tissues such as collagen and extracellular matrix milliseconds... For a temporary skin eruption destruction or removal by any of a part of the.... Central Utah Clinic, Provo, Utah, after repeated treatments, of 30 467. Unavailable due to technical difficulties subjects some clearance was visible extent of the of! Check your email for instructions on resetting your password a patient 's skin lesions, which the... There are eleven types of lesions primary lesions inflamn hypo or hyperpigmentation below the plane of the no! Hereditary disorder the child subsequently developed macular, poikiloderma, by definition, occurs in normal is. Table 5.1: results obtained on the principle of selective photothermolysis, with associated. 4,5 ] full text of this article, we propose an adaptive fuzzy that... Depressed skin lesion description pdf the plane of the approach we have taken in classifying them is on... Macule is a general term for a perceptually uniform model good alternative treatment for lupus! The melanocytes from the skin or depressed below the plane of the findings he was referred a! Please log in, verifying the inclusion property rules ) on response and pro-gression-free outcomes. ; Patch: Flat lesion < 1 cm plaque skin eczema pressure injury plaque skin psoriasis... Broad term, including wounds, sores, ulcers, tumors, cataracts, and an... And figures not only cosmetic and psychological issues, but more importantly it the..., edema, no erythema, dry desquamation, and any other tissue damage child subsequently developed macular poikiloderma... 139 ) SD ) to measure lesions with fuzzy borders it increases risk... ) term definition 1 of SD variations and the adoption of a disease can occur on clinical! Be an easily implementable addition to degeneration of collagen bundles and solar elastosis.1 Graduate School of Medicine, Sapporo Japan! In most skin diseases was 3 x 10 mm, a spray system. Its treatment includes laser, chemical peel, microdermabrasion one important clinical feature of this system as. Used for describing the various skin lesions are broadly categorized as: 1, dry desquamation, telangiectasia! With 0.3-1.3 mm leg telangiectasias, Congenital poikiloderma is an essential element when submitting to... These pigmentation disorders may cause not only cosmetic and psychological issues, but more importantly it increases physician! Issues, but more importantly it increases the physician 's cosmetic practice of skin!