Lesions 1
Lesions 2
Cancer watch
Acne Basics
Grades and Triggers
100

This flat, nonpalpable spot is a change in skin color, such as a freckle or age spot.

Macule – Primary Lesion 

100

This small blister or sac contains clear fluid within or just beneath the epidermis.

Vesicle – Primary lesion 

100

These pink or flesh-colored rough lesions caused by sun damage are precancerous and should be checked by a dermatologist.

Actinic Keratosis

100

This inflammatory disorder of the sebaceous glands is also called acne simplex or acne vulgaris.

Acne

100

Minor breakouts with mostly open comedones, some closed comedones, and a few papules describe this acne grade.

Grade acne I 

200

This small elevation contains no fluid, although it may later develop pus.

Papule – Primary lesion. EX: Acne and warts

200

This large blister contains watery fluid and requires medical referral.

Bulla – Primary lesion

200

This is the most common and least severe skin cancer and may appear as a light, pearly nodule.

Basal cell carcinoma 

200

This noninflamed buildup of cells, sebum, and debris inside a follicle may be open or closed.

Comedone 

200

Many closed comedones, more open comedones, and occasional papules and pustules describe this grade

Grade acne II 

300

This raised, inflamed lesion has a white or yellow center containing pus.

Pustule – Primary lesion 

300

This itchy, swollen lesion may result from a bite, scratch, allergy, or nettle sting.

Wheal – EX: Hives and mosquito bites 

300

This cancer is more serious than basal cell carcinoma and may appear as scaly red or pink papules, nodules, open sores, or crusty areas.

Squamous cell carcinoma 

300

This clogged follicle is open to air; its dark color results from oxidation, not dirt.

Open comedone/blackhead

300

Red, inflamed skin with many comedones, papules, and pustules describes this grade.

Grade acne III 

400

This secondary lesion is a crack that penetrates into the dermis.

Fissure. EX: Severely chapped hands, lips or feet. 

400

This secondary lesion is a thick scar caused by excessive growth of fibrous tissue.

Keloid
400

This is the most serious skin cancer because it can quickly metastasize.

Malignant melanoma 

400

These firm, pearl-like white papules have no visible opening and are often mistaken for whiteheads.

Milia – Small epidermal cysts of sebum and dead cells 

400

Cysts plus comedones, papules, pustules, inflammation, and common scarring describe this grade.

Grade acne 4 

500

This open lesion involves loss of skin depth and may weep fluid or pus; it requires medical referral.

Ulcer – Secondary lesion 

500

These vascular lesions involve the blood or circulatory system and are classified as this level of lesion.

Tertiary lesions – EX: Rosacea and Telangiectasia 

500

In the ABCDE checklist, these two letters stand for irregular edges and a changing lesion.

B for Border and E for Evolving

500

This hereditary tendency causes acne-prone skin to retain dead cells inside follicles, worsening papules and pustules.

Retention hyperkeratosis 

500

Name four broad acne triggers listed in the lesson

genetic, hormonal, environmental, lifestyle, product, or dietary influences

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