Quiz
Linear lesions – 9 cases

From time to time, we come across linear skin lesions. This can be very helpful diagnostically as there is a limited range of possible diagnoses. A careful history and examination of the morphology of the lesions usually sorts them out.

For each of the nine cases, study the image(s) and then answer the questions. You can click on the image to view a larger version if required.

Each case should take approximately 2 minutes to complete. There is a list of suggested further reading material at the end of the quiz.

Case 4

Name these linear skin lesions.

Viral warts

What is the cause?

A row of lesions may be a sign of exogenous injury, including dermatitis artefacta. A row of uniform round painful sores may be due to self-inflicted cigarette burns, in this case a sign of psychosis. In children, consider non-accidental injury. Differential diagnosis includes a crop of insect bites (‘breakfast, lunch and tea’).

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