vesicular skin - Health Topics
Primary vesicular-bullous skin lesions include vesicles and bullae. Secondary lesions may include scale, crust, milia, and scarring. These conditions are classified by depth of skin involvement.
Understanding the Context
Dyshidrotic dermatitis is a chronic, relapsing-remitting vesicular eruption of the palms and soles; classically pruritic; also known as dyshidrotic eczema dermatitis. The common exacerbating factor is irritation, as seen in frequent hand washing, hyperhidrosis, and stress. However, the underlying... This topic covers the assessment of rash in children.
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For assessment of rash by lesion type and including adult populations, see Maculopapular rash (Assessment of); Pustular rash (Assessment of); Vesicular-bullous rash (Assessment of). This topic covers the evaluation of rash in children. For evaluation of rash by lesion type and including adult populations, see Evaluation of maculopapular rash; Evaluation of pustular rash; Evaluation of vesicular-bullous rash. Symptoms of oral herpes (herpes labialis) include tingling and burning followed by development of vesicular then ulcerative lesions involving the oropharynx and perioral mucosa. Symptoms of genital herpes range from asymptomatic to tingling and burning without lesions, to recurrent genital ulcerations.
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The pustules may or may not be sterile and are normally filled with neutrophils. When the pus is contained within the dermis, the lesion is called an abscess or furuncle. If it is deep and dissects through tissue planes it is called a carbuncle. This topic covers purely pustular rashes and vesicular eruptions that develop into pustular rashes. Herpes zoster (also known as shingles) typically presents with pain described as burning or stabbing, followed by a vesicular rash in the affected dermatome; location of symptoms depends on the affected nerve. Diagnosis is primarily based on the typical clinical symptoms, such as dermatomal pain ...
Lesions simultaneously progress through four stages - macular, papular, vesicular, and pustular - with each stage lasting 1-2 days, before scabbing over and resolving. Lesions are typically 5-10 mm in diameter, may be discrete or confluent, and may be few in number or several thousand. Vesicles are well-circumscribed and located deep in the dermis.