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present in proliferative or retention disorders Accentuation of normal skin lines caused by thickening, primarily of the epidermis, due to scratching or rubbing Localized damage to skin secondary to scratching Superficial depression from loss of surface epidermis Full-thickness loss of epidermis, some dermis and subcutaneous fat, which results in a scar when healed Linear crack in the skin, down to the dermis Thinning or loss of epidermis and/or dermis Epidermal atrophy may be very subtle, showing only fine wrinkling of the skin with increased underlying vascular prominence Dermal atrophy shows little if any epidermal change but shows depressions, reflecting loss of dermis or subcutaneous tissue Healed dermal lesion caused by trauma, surgery, infection Surface with minute finger-like projections Skin bleeds easily after minor trauma Papule or nodule on a stalk with a base usually smaller than the papule or nodule Finger-like, usually associated with warts on the face 3 Mallory Chapter 01 4 27/1/05 1:18 pm Page 4 Illustrated Manual of Pediatric Dermatology Table 1.4 Configuration of skin lesions Configuration Description Annular Linear Grouped Target Round lesion with an active margin and a clear center (e.g
