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List Of Cutaneous (Skin) Conditions - Epidermal Nevi, Neoplasms, Cysts
There are many conditions of or affecting the human integumentary system—the organ system that covers the entire surface of the body and is composed of skin, hair, nails, and related muscle and glands. The major function of this system is as a barrier against the external environment. The skin weighs an average of four kilograms, covers an area of two square meters, and is made of three distinct layers: the epidermis, dermis, and subcutaneous tissue. There are two main types of human skin: glabrous skin, the non-hairy skin on the palms and soles (also referred to as the "palmoplantar" surfaces), and hair-bearing skin. Within the latter type, there are hairs in structures called pilosebaceous units, each with hair follicle, sebaceous gland, and associated arrector pili muscle. In the embryo, the epidermis, hair, and glands form from the ectoderm, which is chemically influenced by the underlying mesoderm that forms the dermis and subcutaneous tissues.
The epidermis is the most superficial layer of skin, a squamous epithelium with several strata: the stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, and stratum basale. Nourishment is provided to these layers via diffusion from the dermis, since the epidermis is without direct blood supply. The epidermis contains four cell types: keratinocytes, melanocytes, Langerhans cells, and the Merkel cell. Of these, keratinocytes are the major component, constituting roughly 95 percent of the epidermis. This stratified squamous epithelium is maintained by cell division within the stratum basale, in which differentiating cells slowly displace outwards through the stratum spinosum to the stratum corneum, where cells are continually shed from the surface. In normal skin, the rate of production equals the rate of loss; it takes about two weeks for a cell to migrate from the basal cell layer to the top of the granular cell layer, and an additional two weeks to cross the stratum corneum.
The dermis is the layer of skin between the epidermis and subcutaneous tissue, and comprises two sections, the papillary and reticular dermis. The superficial papillary dermis interdigitates with the overlying rete ridges of the epidermis, between which the two layers interact through the basement membrane zone. Structural components of the dermis are collagen, elastic fibers, and extrafibrillar matrix (previously called ground substance). Within these components are the pilosebaceous units, arrector pili muscles, and the eccrine and apocrine glands. The dermis contains two vascular networks that run parallel to the skin surface—one superficial and one deep plexus—which are connected by vertical communicating vessels. The function of blood vessels within the dermis is fourfold: to supply nutrition, to regulate temperature, to modulate inflammation, and to participate in wound healing.
The subcutaneous tissue is a layer of fat between the dermis and underlying fascia. This tissue may be further divided into two components, the actual fatty layer, or panniculus adiposus, and a deeper vestigial layer of muscle, the panniculus carnosus. The main cellular component of this tissue is the adipocyte, or fat cell. The structure of this tissue is composed of septal (i.e. linear strands) and lobular compartments, which differ in microscopic appearance. Functionally, the subcutaneous fat insulates the body, absorbs trauma, and serves as a reserve energy source.
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). While only a small number of skin diseases account for most visits to the physician, thousands of skin conditions have been described.
Classification of these conditions often presents many nosological challenges, since underlying etiologies and pathogenetics are often not known. Therefore, most current textbooks present a classification based on location (for example, conditions of the mucous membrane), morphology (chronic blistering conditions), etiology (skin conditions resulting from physical factors), and so on. Clinically, the diagnosis of any particular skin condition is made by gathering pertinent information regarding the presenting skin lesion(s), including the location (such as arms, head, legs), symptoms (pruritus, pain), duration (acute or chronic), arrangement (solitary, generalized, annular, linear), morphology (macules, papules, vesicles), and colour (red, blue, brown, black, white, yellow). The diagnosis of a many conditions often also requires a skin biopsy which yields histologic information that can be correlated with the clinical presentation and any laboratory data.
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Diseases – Cutaneous (Skin) Diseases – Epidermal Nevi, Neoplasms, Cysts
Epidermal nevi, neoplasms, cysts are skin lesions that develop from the epidermal layer of the skin.
- Aberrant basal cell carcinoma
- Acanthoma fissuratum (Granuloma fissuratum, Spectacle frame acanthoma)
- Acrospiroma (Clear cell hidradenoma, Dermal duct tumor, Hidroacanthoma simplex, Nodular hidradenoma, Poroma)
- Actinic keratosis (Senile keratosis, Solar keratosis)
- Adenoid squamous cell carcinoma (Pseudoglandular squamous cell carcinoma)
- Aggressive digital papillary adenocarcinoma (Digital papillary adenocarcinoma, Papillary adenoma)
- Apocrine gland carcinoma
- Apocrine nevus
- Arsenical keratosis
- Atrophic actinic keratosis
- Balanitis plasmacellularis (Balanoposthitis chronica circumscripta plasmacellularis, Balanitis circumscripta plasmacellularis, Plasma cell balanitis, Plasma cell vulvitis, Vulvitis circumscripta plasmacellularis, Zoon's balanitis, Zoon's erythroplasia, Zoon's vulvitis)
- Basal cell carcinoma
- Basaloid follicular hamartoma
- Basaloid squamous cell carcinoma
- Birt–Hogg–Dubé syndrome
- Bowen's disease (Squamous cell carcinoma in situ)
- Ceruminoma
- Cicatricial basal cell carcinoma (Morpheaform basal cell carcinoma, Morphoeic basal cell carcinoma)
- Ciliated cyst of the vulva (Cutaneous Müllerian cyst, Paramesonephric mucinous cyst of the vulva)
- Clear cell acanthoma (Acanthome cellules claires of Degos and Civatte, Degos acanthoma, Pale cell acanthoma)
- Clear cell squamous cell carcinoma (Clear cell carcinoma of the skin)
- Chronic scar keratosis (Chronic cicatrix keratosis)
- Clonal seborrheic keratosis
- Common seborrheic keratosis (Basal cell papilloma, Solid seborrheic keratosis)
- Cowden syndrome (Cowden's disease, Multiple hamartoma syndrome)
- Cutaneous ciliated cyst
- Cutaneous columnar cyst
- Cutaneous horn (Cornu cutaneum)
- Cystic basal cell carcinoma
- Dermal eccrine cylindroma (Cylindroma)
- Dermatosis papulosa nigra
- Desmoplastic trichoepithelioma
- Dilated pore (Dilated pore of Winer)
- Eccrine carcinoma (Syringoid carcinoma)
- Eccrine nevus
- Epidermal cyst (Epidermal inclusion cyst, Epidermoid cyst, Infundibular cyst, Keratin cyst)
- Epidermal nevus syndrome (Feuerstein and Mims syndrome, Solomon's syndrome)
- Epidermolytic acanthoma
- Eruptive vellus hair cyst
- Erythroplasia of Queyrat
- Extramammary Paget's disease
- Fibroepithelioma
- Fibroepithelioma of Pinkus
- Fibrofolliculoma
- Follicular hybrid cyst (Hybrid cyst)
- Folliculosebaceous-apocrine hamartoma (Follicular-apocrine hamartoma)
- Folliculosebaceous cystic hamartoma
- Generalized eruptive keratoacanthoma (Generalized eruptive keratoacanthoma of Grzybowski)
- Giant solitary trichoepithelioma
- Hidradenoma
- Hidradenocarcinoma
- Hidrocystoma (Cystadenoma, Moll's gland cyst, Sudoriferous cyst)
- Hydrocarbon keratosis (Pitch keratosis, Tar keratosis, Tar wart)
- Hyperkeratosis lenticularis perstans (Flegel's disease)
- Hyperkeratosis of the nipple and areola
- Hyperkeratotic actinic keratosis
- Ichthyosis hystrix (Ichthyosis hystrix gravior type Lambert, Porcupine man, Systematized verrucous nevus)
- Ichthyosis hystrix of Curth–Macklin
- Infiltrative basal cell carcinoma
- Inflammatory linear verrucous epidermal nevus
- Inverted follicular keratosis
- Irritated seborrheic keratosis (Basosquamous cell acanthoma, Inflamed seborrheic keratosis)
- Isthmicoma (Infundibuloma, Tumor of the follicular infundibulum)
- Juvenile myelomonocytic leukemia
- Keratin implantation cyst
- Keratoacanthoma
- Keratoacanthoma centrifugum marginatum
- Large cell acanthoma
- Lichenoid actinic keratosis
- Lichenoid keratosis (Benign lichenoid keratosis, Lichen planus-like keratosis, Solitary lichen planus, Solitary lichenoid keratosis)
- Linear verrucous epidermal nevus (Linear epidermal nevus, Verrucous epidermal nevus)
- Malignant acrospiroma (Malignant poroma, Porocarcinoma, Spiradenocarcinoma)
- Malignant mixed tumor (Malignant chondroid syringoma)
- Malignant trichilemmal cyst
- Mantleoma
- Marjolin's ulcer
- Melanoacanthoma (Pigmented seborrheic keratosis)
- Merkel cell carcinoma (Cutaneous apudoma, Primary neuroendocrine carcinoma of the skin, Primary small cell carcinoma of the skin, Trabecular carcinoma of the skin)
- Microcystic adnexal carcinoma (Sclerosing sweat duct carcinoma)
- Micronodular basal cell carcinoma
- Milia en plaque
- Milium
- Mixed tumor (Chondroid syringoma)
- Mucinous carcinoma
- Mucinous nevus (Nevus mucinosus)
- Muir–Torre syndrome
- Multiple familial trichoepithelioma (Brooke–Spiegler syndrome, Epithelioma adenoides cysticum)
- Multiple keratoacanthomas (Ferguson Smith type of multiple self-healing keratoacanthomas, Multiple keratoacanthomas of the Ferguson–Smith type)
- Multiple minute digitate hyperkeratosis (Digitate keratoses, Disseminated spiked hyperkeratosis, Familial disseminated piliform hyperkeratosis, Minute aggregate keratosis)
- Nevoid basal cell carcinoma syndrome (Basal cell nevus syndrome, Gorlin syndrome, Gorlin–Goltz syndrome)
- Nevus comedonicus (Comedo nevus)
- Nevus comedonicus syndrome
- Nevus sebaceous (Nevus sebaceous of Jadassohn, Organoid nevus)
- Nevus unius lateris
- Nodular basal cell carcinoma (Classic basal cell carcinoma)
- Paget's disease of the breast
- Papillary eccrine adenoma (Tubular apocrine adenoma)
- Papillary hidradenoma (Hidradenoma papilliferum)
- Papillomatosis cutis carcinoides (Papillomatosis cutis carcinoides of Gottron–Eisenlohr)
- Patch blue nevus (Acquired dermal melanocytosis, Dermal melanocyte hamartoma)
- Perifollicular fibroma
- Phakomatosis pigmentokeratotica
- Pigmented actinic keratosis
- Pigmented basal cell carcinoma
- Pigmented hairy epidermal nevus syndrome
- Pilar sheath acanthoma
- Pilonidal sinus (Barber's interdigital pilonidal sinus, Pilonidal cyst, Pilonidal disease)
- Polypoid basal cell carcinoma
- Pore-like basal cell carcinoma
- Primary cutaneous adenoid cystic carcinoma
- Proliferating epidermoid cyst (Proliferating epithelial cyst)
- Proliferating trichilemmal cyst (Pilar tumor, Proliferating follicular cystic neoplasm, Proliferating pilar tumor, Proliferating trichilemmal tumor)
- Pseudocyst of the auricle (Auricular endochondrial pseudocyst, Cystic chondromalacia, Endochondral pseudocyst, Intracartilaginous cyst)
- Pseudoepitheliomatous keratotic and micaceous balanitis
- PUVA keratosis
- Reactional keratosis
- Reticulated seborrheic keratosis (Adenoid seborrheic keratosis)
- Rodent ulcer (Jacobi ulcer)
- Schimmelpenning syndrome (Schimmelpenning–Feuerstein–Mims syndrome)
- Sebaceoma (Sebaceous epithelioma)
- Sebaceous adenoma
- Sebaceous carcinoma
- Sebaceous hyperplasia
- Sebaceous nevus syndrome
- Seboacanthoma
- Seborrheic keratosis (Seborrheic verruca, Senile wart)
- Seborrheic keratosis with squamous atypia
- Signet-ring cell squamous cell carcinoma
- Solitary keratoacanthoma (Subungual keratoacanthoma)
- Solitary trichoepithelioma
- Spindle cell squamous cell carcinoma (Spindle cell carcinoma)
- Spiradenoma
- Squamous cell carcinoma
- Steatocystoma multiplex (Epidermal polycystic disease, Sebocystomatosis)
- Steatocystoma simplex (Simple sebaceous duct cyst, Solitary steatocystoma)
- Stucco keratosis (Digitate seborrheic keratosis, Hyperkeratotic seborrheic keratosis, Keratosis alba, Serrated seborrheic keratosis, Verrucous seborrheic keratosis)
- Superficial basal cell carcinoma (Superficial multicentric basal cell carcinoma)
- Syringadenoma papilliferum (Syringocystadenoma papilliferum)
- Syringofibroadenoma (Acrosyringeal nevus of Weedon and Lewis)
- Syringoma
- Systematized epidermal nevus
- Thermal keratosis
- Trichilemmal carcinoma
- Trichilemmal cyst (Isthmus-catagen cyst, Pilar cyst)
- Trichilemmoma
- Trichoadenoma (Trichoadenoma of Nikolowski)
- Trichoblastoma
- Trichoblastic fibroma
- Trichodiscoma
- Trichofolliculoma
- Unilateral palmoplantar verrucous nevus
- Urethral caruncle
- Verrucous carcinoma (Ackerman tumor, Carcinoma cuniculatum)
- Verrucous cyst (Cystic papilloma)
- Viral keratosis
- Warty dyskeratoma (Isolated dyskeratosis follicularis)
- Waxy keratosis of childhood (Kerinokeratosis papulosa)
- Zoon's vulvitis
- Zosteriform speckled lentiginous nevus
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