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Milady Standard Cosmetology Skin Disorders and Diseases © 2012 Milady, a part of Cengage Learning Disorders and Diseases of the Skin Lesions of the Skin • Lesion: Mark on the skin that may indicate an injury or damage that changes the structure of tissues or organs. • Can be as simple as a freckle or as dangerous as a skin cancer. • Can indicate skin disorders or diseases as well as other internal diseases. Disorders and Diseases of the Skin Primary Lesions of the Skin • Primary lesions: Different color than the color of the skin and/or lesions that are raised above the surface of the skin. • Bulla • Cyst • Macule Disorders and Diseases of the Skin Primary Lesions of the Skin • • • • • • • Nodule Papule Pustule Tubercle Tumor Vesicle Wheal Disorders and Diseases of the Skin Secondary Lesions • Secondary skin lesions: Characterized by piles of material on the skin surface, such as a crust or scab, or by depressions in the skin surface, such as an ulcer. Disorders of the Sebaceous (Oil) Glands • Open comedo: also blackhead; hair follicle filled with keratin and sebum. • Closed comedo: Also whitehead; appears as a small bump just under the skin surface. Disorders of the Sebaceous (Oil) Glands • Milia: Benign, keratinfilled cysts that appear just under the epidermis and have no visible opening. • Acne: Also acne vulgaris; characterized by chronic inflammation of the sebaceous glands from retained secretions and bacteria. Disorders of the Sebaceous (Oil) Glands • Sebaceous cyst: Protruding lesion filled with sebum. • Seborrheic dermatitis: Inflammation of sebaceous glands. • Rosacea: Characterized by telangiectasis. Disorders of the Sudoriferous (Sweat) Glands • Anhidrosis: Deficiency • Miliaria rubra: Also in perspiration. prickly heat; characterized by the eruption of small red • Bromhidrosis: Foulvesicles and smelling perspiration. accompanied by burning, itching skin. • Hyperhidrosis: Excessive sweating. Inflammations and Common Infections of the Skin • Conjunctivitis: Also pinkeye; bacterial eye infection. • Dermatitis: Any inflammatory skin condition. • Eczema: Characterized by inflammation, scaling, and severe itching. Inflammations and Common Infections of the Skin • Herpes simplex: Recurring viral infection, often presents as a fever blister or cold sore. • Impetigo: Characterized by weeping lesions. • Psoriasis: Characterized by red patches covered with silver-white scales. Pigment Disorders of the Skin • Dyschromias: • Albinism: Absence of Abnormal colorations, melanin pigment. that may accompany • Chloasma: Also liver skin disorders. spots; • Hyperpigmentation: hyperpigmentation in Dark spots. spot. • Hypopigmentation: Light or white splotches. Pigment Disorders of the Skin • Lentigines: Freckles. • Nevus: Also birthmark; caused by abnormal pigmentation or dilated capillaries. • Stain: Abnormal browncolored or wine-colored skin discoloration. Pigment Disorders of the Skin • Leukoderma: Light abnormal patches. • Tan: Pigmentation change from exposure to sun or UV light. • Vitiligo: Hypopigmented spots and splotches on the skin; may be related to thyroid conditions. Hypertrophies of the Skin • Hypertrophy: Abnormal growth. • Keratoma: Thickened patch of epidermis. • Mole: Brownish spot. • Skin tag: Small brown- or flesh-colored outgrowth. • Verruca: Also wart, hypertrophy of the papillae and epidermis. Skin Cancer • Basal cell carcinoma: Most common and the least severe type of skin cancer, often characterized by light or pearly nodules. • Squamous cell carcinoma: Often characterized by scaly red papules or nodules. Skin Cancer • Malignant melanoma: Most dangerous skin cancer, characterized by black or dark brown patches on the skin that may appear uneven in texture, jagged, or raised. Acne and Problem Skin • Acne is a disorder affected by two major factors: heredity and hormones. • Retention hyperkeratosis: Hereditary tendency for acne-prone skin to retain dead cells in the follicle. • Oiliness of the skin is also hereditary. • Propionibacterium acnes are anaerobic: these bacteria cannot survive in the presence of oxygen. Acne and Problem Skin Acne Treatment • Use of cleansers formulated for oily skin. • Use of follicle exfoliants. • Avoidance of fatty skin care and cosmetic products. – Use noncomedogenic products. • Avoid harsh products, do not over clean acne-prone skin. • Mild and moderate cases of acne are often treated by trained salon and spa professionals. Aging Skin Issues • Intrinsic factors: Skinaging factors over which we have little control. – Genetic aging – Gravity – Facial expressions • Extrinsic factors: Primarily environmental factors that contribute to aging and the appearance of aging. – – – – – Sun exposure Smoking Drug use Cumulative stress Overuse of alcoholic beverages – Poor nutrition – Pollution exposure The Sun and Its Effects • UVA rays: Also aging rays; deeppenetrating rays that can even go through a glass window. • UVB rays: Also burning rays; cause sunburns, tanning of the skin, and majority of skin cancers. • Prevention: – Avoid sun exposure – Use broad spectrum sunscreen Contact Dermatitis Allergic Contact Dermatitis • Contact dermatitis: Skin • Common places for inflammation caused by allergic contact contact with chemicals dermatitis: or substances. – On the fingers, palms, • Allergic contact or on the back of the dermatitis (ACD): Allergy hand. to an ingredient or a – On the face, especially chemical, usually the cheeks. caused by repeated skin – On the scalp, hairline, contact. forehead, or neckline. Contact Dermatitis Irritant Contact Dermatitis • Irritant contact dermatitis (ICD): When irritating substances temporarily damage the epidermis, not usually chronic if precautions are taken. • To prevent both types of occupational contact dermatitis, use gloves or utensils when working with irritating chemicals. Contact Dermatitis Protect Yourself • Take extreme care to keep brush handles, containers, and table tops clean and free from product, dust, and residue. • Wear protective gloves whenever using products known to cause irritant or allergic contact dermatitis. • Keep your hands clean and moisturized.