12 BASICS
Distribution of lesions:
Symmetrical or asymmetrical
Regional (examples):
Face/muzzle/head
Pinnae
Eyelid/periocular
Dorsal muzzle
Lipfold
Chin
Neck
Nasal planum
Mucous membrane (all or a specific region)
Mucocutaneous junction
Dorsal
Ventral
Truncal
Abdominal
Flank
Tail
Extremity
Paws/palmar/plantar
Claw/claw fold
Footpad.
Pattern:
Diffuse
Generalized
Focal
Multifocal
Localized
Patchy
Regional.
CLINICAL FEATURES: PRIMARY LESIONS VERSUS
SECONDARY LESIONS
Primary lesions develop directly from the disease process:
Scale: a thin accumulation of keratinocytes; further defined as fine, coarse,
greasy, dry, adherent, or loose (Figure 2.1); the normal skin sheds imperceptible
individual cells; abnormal adhesion/dysadhesion of cells results in clumping of
cells visible as scale, +/- admixed with crust; may be a result of an accelerated epi-
dermal turnover rate (e.g., normal 22 days decreasing to 3–7 days in idiopathic
seborrhea)
Crust: a thick accumulation of cells with dried exudate of serum, blood, purulent
debris, or medications (Figure 2.2)