Table 1: Primary lesions.

Primary lesions Definition Examples
Macule Flat (nonpalpable) circumscribed skin discoloration Café au lait, vitiligo, freckle, junctional nevi, tinea versicolor, melasma
Patch Large macule, > 1 cm Vitiligo, nevus flammeus
Papule Solid elevation, < 0.5 cm in diameter Acrochordon (skin tag), acne, nevus, melanoma, molluscum contagiusum
Plaques Broad papule or confluence of papules, > 0.5 cm, no deep component Psoriasis, eczema, tinea corporis, mycosis fungoides
Nodules Solid elevation, > 0.5 cm in diameter, larger deeper papule Rheumatoid nodule, xanthoma, lipoma, metastatic carcinoma, erythema nodosum
Tumors Large nodule Lipomas, melanoma
Wheals Evanescent, pruritic edematous, plaque (a hive) Urticaria, dermographism, urticaria pigmentosum
Vesicle Papule that contains clear fluid (a blister), epidermal, may be unilocular or multilocular Herpes simplex, herpes zoster, contact dermatitis
Bulla Large vesicle, > 0.5 cm in diameter Pemphigus vulgaris, bullous pemphigoid, bullous impetigo
Pustule Papule that contains purulent fluid Acne, folliculitis, pustular psoriasis, impetigo
Cyst Nodule that contains fluid Acne, epidermal inclusion cyst, pilar cyst