Macule
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
The macule is the simplest dermatological lesion. It is flat and can only be seen and not felt. The macule is noted by a change in color of the skin. It may be brown, blue, red or exhibit a lesser pigment or an absence of pigment. The color of the lesion is one way in which a diagnosis may be focused.
Macules may develop as a result of cystic or otherwise severe acne. They occur after a pimple or cyst has healed, and may remain for up to six months. They are sometimes known in such cases as “pseudo-scars”, but unlike true scars they are not permanent.
Examples of macular lesions and disorders
- Freckle
- Vitiligo
- Tinea versicolor
- Becker’s nevus
- Café-au-lait spot
- Erythrasma
- Fixed drug eruption
- Junctional nevus
- Lentigo maligna
- Lentigo
- Lewandowsky-Lutz dysplasia
- Melasma
- Phototoxic drug eruption
- Stasis dermatitis
- Mongolian spot
Macules by color
Brown
Blue
- Ink (tattoo)
- Mongolian spot
- Ochronosis
Red
- Drug eruptions
- Juvenile rheumatoid arthritis
- Rheumatic fever
- Viral exanthems
Hypopigmented
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