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What Size is a Macule?

Published in Skin Conditions 2 mins read

A macule is a small, flat discolored area on the skin, specifically defined by its size. According to our reference, a macule is a circumscribed, flat area of discoloration that is less than 10 mm in diameter.

Understanding Macules

Let's explore what this means in more detail:

  • Circumscribed: This means the discolored area has a defined border. It is not a blurry or faded discoloration.
  • Flat: A macule is not raised or depressed. It's flush with the surrounding skin.
  • Discoloration: The color of a macule is different from the normal skin tone. It can be lighter (hypopigmented), darker (hyperpigmented), red, or another color.
  • Size: The key feature defining a macule is its size: less than 10 mm in diameter. This is roughly the size of a pencil eraser or smaller.

Macule vs. Patch

It's essential to understand how macules are distinguished from patches:

Feature Macule Patch
Size Less than 10 mm in diameter Greater than 10 mm in diameter
Discoloration Flat area of discoloration Flat area of discoloration

As shown in the table, the primary difference is the size. If a flat, discolored area exceeds 10 mm, it is classified as a patch rather than a macule.

Examples of Macules

Here are some examples of medical conditions that present with macules:

  • Freckles: Small, tan or light brown spots caused by sun exposure.
  • Some types of birthmarks: Certain birthmarks may present as flat, discolored macules.
  • Early stages of certain rashes: Macules can appear as an early sign of various skin conditions.

In summary, a macule is a small, flat, discolored spot on the skin that measures less than 10 mm in diameter.