Conditions of the human integumentary system constitute a broad spectrum of diseases, also known as dermatoses, as well as many nonpathologic states (like, in certain circumstances, melanonychia and racquet nails).[3][4] While only a small number of skin diseases account for most visits to the physician, thousands of skin conditions have been described.[5] Classification of these conditions often presents many nosological challenges, since underlying causes and pathogenetics are often not known.[6][7] Therefore, most current textbooks present a classification based on location (for example, conditions of the mucous membrane), morphology (chronic blistering conditions), cause (skin conditions resulting from physical factors), and so on.[8][9]
Clinically, the diagnosis of any particular skin condition begins by gathering pertinent information of the presenting skin lesion(s), including: location (e.g. arms, head, legs); symptoms (pruritus, pain); duration (acute or chronic); arrangement (solitary, generalized, annular, linear); morphology (macules, papules, vesicles); and color (red, yellow, etc.).[10] Some diagnoses may also require a skin biopsy which yields histologic information[11][12] that can be correlated with the clinical presentation and any laboratory data.[13][14] The introduction of cutaneous ultrasound has allowed the detection of cutaneous tumors, inflammatory processes, and skin diseases.[15]
^Miller JH, Marks JG (2006). Lookingbill and Marks' Principles of Dermatology. Saunders. ISBN1-4160-3185-5.
^Cite error: The named reference Lynch was invoked but never defined (see the help page).
^Tilles G, Wallach D (1989). "[The history of nosology in dermatology]". Annales de Dermatologie et de Venereologie (in French). 116 (1): 9–26. PMID2653160.
^Lambert WC, Everett MA (October 1981). "The nosology of parapsoriasis". Journal of the American Academy of Dermatology. 5 (4): 373–395. doi:10.1016/S0190-9622(81)70100-2. PMID7026622.
^Wolff K, Johnson RA, Suurmond R (2005). Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology (5th ed.). McGraw-Hill Medical Pub. Division. ISBN0-07-144019-4.
^Xu X, Elder DA, Elenitsas R, Johnson BL, Murphy GE (2008). Lever's Histopathology of the Skin. Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN978-0-7817-7363-8.