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Vesicles

Basic

Alternative Names

Blisters

Visual Reference

Bullous pemphigoid, close-up of tense blisters
Chigger bite - close-up of blisters
Hand, foot, and mouth disease on the soles
Herpes simplex - close-up
Herpes zoster (shingles) - close-up of lesion
Poison ivy on the knee
Poison ivy on the leg
Vesicles

References

Armstrong CA. Examination of the skin and approach to diagnosing skin diseases. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 462.

Rapini RP. Clinical and pathologic differential diagnosis. In: Bolognia JL, Jorizzo JL, Rapini RP, eds. Dermatology. 2nd ed. Philadelphia, Pa: Mosby Elsevier; 2008:vol 1.

Overview

Definition

A vesicle is a small fluid-filled blister.

See also: Bulla

Considerations

A vesicle is small -- it may be as tiny as the top of a pin or up to 5 or 10 millimeters wide.

In many cases, vesicles break easily and release their fluid onto the skin. When this fluid dries, yellow crusts may remain on the skin surface.

Common Causes

Many diseases and conditions can cause vesicles. Some common examples include:

  • Allergic reactions to drugs
  • Atopic dermatitis (eczema )
  • Blistering skin diseases including porphyria cutanea tarda and dermatitis herpetiformis
  • Chicken pox
  • Contact dermatitis (may be caused by poison ivy)
  • Herpes simplex (cold sores, genital herpes)
  • Herpes zoster (shingles)
  • Impetigo

Symptoms

Home Care

As a general rule, your doctor should examine any skin rashes, including vesicles.

Over-the-counter treatments are available for certain conditions that cause vesicles, including poison ivy and cold sores.

Call your health care provider if

Call your doctor if you have any unexplained blisters on your skin.

What to expect at your health care provider's office

Your doctor will look at your skin. Some vesicules can be diagnosed simply by how they look.

In many cases, however, additional tests are needed. The fluid inside a blister may be sent to a lab for closer examination. In particularly difficult cases, a skin biopsy may be needed to make or confirm a diagnosis.

Prevention

Review Date: 2009-05-02 Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Keywords: ,call, tests, medicine, make, 2007, chap, saunders, caused, certain, general, ausiello, 23rd, cecil, inside, goldman, clinical, biopsy, difficult, 2008, mosby, contact, additional, treatments, available, diagnosed, particularly, reactions, allergic, confirm, easily, rule, counter, break, surface, 2nd, unexplained, yellow, sent, release, approach, tiny, examine, top, lab, remain, filled, wide, genital, differential, simply, philadelphia, examples, rashes, small, dermatology, eds, elsevier, diagnosing, simplex, chicken, needed, eczema, examination, conditions, blistering, diagnosis, millimeters, pathologic, porphyria, shingles, zoster, atopic, closer, crusts, pox, impetigo, pin, look, dries, 462, armstrong, cold, doctor, poison, bolognia, herpetiformis, vol, jorizzo, cutanea, tarda, cases, bulla, vesicules, sores, diseases, blister, fluid, ivy, herpes, rapini, vesicle
Adam Data Copyright The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only--they do not constitute endorsements of those other sites. © 1997- 2010 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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