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Definition
A patch is a flat, circumscribed skin discoloration that is > 1 cm in diameter.
A flat skin discoloration < 1 cm in diameter is a macule.
Notes
If the lesion is raised (instead of flat), it is a patch.
"Circumscribed" means that it is clearly delineated (set-off) from its surroundings (not that it is circular in shape).
Images from:
Macule:
Freckles
Patch:
Port-wine stain
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