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Which of the following is NOT a secondary lesion?

  1. Ulcers

  2. Pustules

  3. Excoriations

  4. Psoriasis

The correct answer is: Pustules

Secondary lesions are those that arise from primary lesions or develop as a result of changes to the skin. They typically represent a progression or complication of skin conditions. To understand why the answer is B, it is essential to define what each term means in the context of skin lesions. Ulcers, for instance, are secondary lesions as they involve the loss of skin or mucous membrane and can result from various conditions or infections that exacerbate primary lesions. Similarly, excoriations denote scratches or abrasions that are also considered secondary since they occur due to trauma or itching of an existing lesion. Psoriasis, while initially considered a primary lesion due to the nature of its inflammatory skin condition characterized by red, scaly patches, can also manifest secondary lesions due to its chronic nature, leading to skin damage from scratching and irritation over time. Pustules, on the other hand, are typically classified as primary lesions. They are small, raised, pus-filled lesions that can occur due to infection or other inflammatory processes. The formation of pustules does not arise from previous lesions but is instead a new development on the skin. Therefore, identifying pustules as the correct answer arises from understanding the classification of lesions, where they originate from, and their relationship with primary and