symptoms of cutaneous disease may be objective, subjective or both;
and in some diseases, also, there may be systemic disturbance.

#What do you mean by objective symptoms?#

Those symptoms visible to the eye or touch.

#What do you understand by subjective symptoms?#

Those which relate to sensation, such as itching, tingling, burning,
pain, tenderness, heat, anaesthesia, and hyperaesthesia.

#What do you mean by systemic symptoms?#

Those general symptoms, slight or profound, which are sometimes
associated, primarily or secondarily, with the cutaneous disease, as,
for example, the systemic disturbance in leprosy, pemphigus, and purpura
hemorrhagica.

#Into what two classes of lesions are the objective symptoms commonly
divided?#

Primary (or elementary), and
Secondary (or consecutive).

#Primary Lesions.#

#What are primary lesions?#

Those objective lesions with which cutaneous diseases begin. They may
continue as such or may undergo modification, passing into the secondary
or consecutive lesions.

#Enumerate the primary lesions.#

Macules, papules, tubercles, wheals, tumors, vesicles, blebs and
pustules.

#What are macules (maculae)?#

Variously-sized, shaped and tinted spots and discolorations, without
elevation or depression; as, for example, freckles, spots of purpura,
macules of cutaneous syphilis.

#What are papules (papulae)?#

Small, circumscribed, solid elevations, rarely exceeding the size of a
split-pea, and usually superficially seated; as, for example, the
papules of eczema, of acne, and of cutaneous syphilis.

#What are tubercles (tubercula)?#

Circumscribed, solid elevations, commonly pea-sized and usually
deep-seated; as, for example, the tubercles of syphilis, of leprosy, and
of lupus.

#What are wheals (pomphi)?#

Variously-sized and shaped, whitish, pinkish or reddish elevations, of
an evanescent character; as, for example, the lesions of urticaria, the
lesions produced by the bite of a mosquito or by the sting of a nettle.

#What are tumors (tumores)?#

Soft or firm elevations, usually large and prominent, and having their
seat in the corium and subcutaneous tissue; as, for example, sebaceous
tumors, gummata, and the lesions of fibroma.

#What are vesicles (vesiculae)?#

Pin-head to pea-sized, circumscribed epidermal elevations, containing
serous fluid; as, for example, the so-called fever-blisters, the