RT Book, Section A1 Burgin, Susan SR Print(0) ID 1175058292 T1 The Eczematous Reaction Pattern T2 Guidebook to Dermatologic Diagnosis YR 2021 FD 2021 PB McGraw-Hill Education PP New York, NY SN 9780071738750 LK accessmedicine.mhmedical.com/content.aspx?aid=1175058292 RD 2024/04/19 AB The eczematous reaction pattern encompasses a wide variety of primary and associated secondary lesions. Eczema may be classified morphologically according to its chronicity. Table 8.1 lists the morphologic findings of acute, subacute, and chronic eczema. Acute eczema involves the constellation of vesicles and/or bullae, erythematous macules and/or plaques, oozing, and crusting (Figure 8.1). Early erosions may be seen. Subacute eczema is defined by the presence of scaly erythematous papules and/or plaques, along with round erosions and/or round crusts (Figure 8.2A,B). In chronic eczema there are scaly, lichenified plaques that may be hyper- and/or hypopigmented (Figure 8.3). Lichenification connotes thickened skin with increased skin markings and this finding occurs secondary to scratching and rubbing.