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Macule vs. Papule — What's the Difference?

By Tayyaba Rehman — Updated on October 4, 2023
A macule is a flat, non-raised skin spot, while a papule is a small, raised skin bump; both are changes in the skin's color or texture.
Macule vs. Papule — What's the Difference?

Difference Between Macule and Papule

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Key Differences

A macule is a distinct discoloration on the skin, typically flat, that does not elevate or form a bump. On the other hand, a papule represents a raised lesion, often resulting from localized skin inflammation.
The characteristics of a macule include being non-palpable and usually less than 1 cm in diameter. Conversely, a papule is palpable, can be felt when touched, and also generally measures less than 1 cm.
One can think of a macule as a kind of "stain" on the skin, like a freckle, not altering the skin's texture. A papule, however, alters the skin's surface, creating a bump or elevation.
Freckles, flat moles, and certain types of birthmarks are examples of macules. In contrast, small warts, some insect bites, and certain types of acne manifest as papules.
While both macules and papules can be harmless, they can sometimes indicate an underlying medical condition, warranting observation and possibly medical consultation.
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Comparison Chart

Definition

Flat, non-raised skin spot
Small, raised skin bump

Palpability

Non-palpable
Palpable

Size

Typically less than 1 cm in diameter
Typically less than 1 cm in diameter

Examples

Freckles, flat moles
Warts, insect bites

Texture Change

Changes in color but not texture
Changes in both color and texture (raised surface)

Compare with Definitions

Macule

Typically less than 1 cm in diameter.
The macule on his arm was small and faded.

Papule

A small, raised skin lesion.
An insect bite turned into a red papule on her leg.

Macule

A skin spot without any elevation.
The dermatologist confirmed the spot was a harmless macule.

Papule

Changes both skin color and texture.
The acne manifested as a papule with a white center.

Macule

A change in skin color without palpable texture.
A sunspot is a type of macule caused by sun exposure.

Papule

Elevated skin bump less than 1 cm in diameter.
The dermatologist treated the papule on his forehead.

Macule

An area of skin discoloration.

Papule

Often benign but can be a symptom of a skin condition.
Regular skin checks can help detect concerning papules early.

Macule

Variant of mackle.

Papule

Palpable skin elevation often from inflammation.
The papule was tender to the touch and slightly itchy.

Macule

A discolored spot or area on the skin that is not elevated above the surface and is characteristic of certain conditions, such as smallpox, purpura, or roseola. Also called macula.

Papule

A papule is a circumscribed, solid elevation of skin with no visible fluid, varying in area from a pinhead to 1 cm. Papules can be brown, purple, pink or red in color, and can cluster into a papular rash.

Macule

A blurred or double impression in printing.

Papule

A small pimple or swelling on the skin, often forming part of a rash.

Macule

To blur or double (a printed impression).

Papule

A small, solid, usually inflammatory elevation of the skin that does not contain pus.

Macule

To become blurred.

Papule

A small, inflammatory, irritated spot on the skin, similar in appearance to a pimple, but not containing pus.

Macule

A spot.

Papule

Same as Papula.

Macule

A blur or an appearance of a double impression, as when the paper slips a little during printing.

Papule

A small inflamed elevation of skin that is nonsuppurative (as in chicken pox)

Macule

(printing) To blur or be blurred; especially to blur or double an impression from type.

Macule

A spot.

Macule

A blur, or an appearance of a double impression, as when the paper slips a little; a mackle.

Macule

To blur; especially (Print.), to blur or double an impression from type. See Mackle.

Macule

A patch of skin that is discolored but not usually elevated; caused by various diseases

Macule

A flat, non-raised skin discoloration.
The macule on her cheek was light brown and resembled a freckle.

Macule

Often benign but can indicate an underlying condition.
It's best to monitor the macule for any changes over time.

Common Curiosities

What is a macule?

A macule is a flat, non-raised discoloration on the skin, typically less than 1 cm in diameter.

How does a papule differ from a macule?

A papule is a raised skin lesion, palpable and generally less than 1 cm, while a macule is flat and non-palpable.

Can both macules and papules indicate a medical condition?

Yes, while many macules and papules are harmless, they can sometimes indicate an underlying medical condition.

Are freckles considered macules?

Yes, freckles are a type of macule, characterized by flat, non-raised discolorations on the skin.

Is a mole a macule or papule?

It depends on the mole. Flat moles are macules, while raised moles are closer to papules.

How large can a macule get?

A macule is typically less than 1 cm in diameter.

Can macules change over time?

Yes, macules can change in size, shape, or color, and any such changes should be evaluated by a healthcare professional.

What causes a papule to form?

Papules can form due to various reasons, including inflammation, skin infections, or reactions.

Are macules and papules common?

Yes, many people have macules like freckles or occasional papules like insect bites or acne.

Are age spots considered macules?

Yes, age spots or sunspots are types of macules caused by sun exposure over time.

Do papules itch or cause discomfort?

Some papules, like insect bites or certain skin conditions, can itch or be tender, but not all papules cause discomfort.

Can both macules and papules appear anywhere on the body?

Yes, both macules and papules can appear anywhere on the skin.

Are all papules related to acne?

No, while certain types of acne manifest as papules, other conditions, like insect bites or warts, can also appear as papules.

How are macules and papules treated?

Treatment varies depending on the cause. Some may not require treatment, while others might need topical applications or other interventions.

Can papules be prevented?

Prevention depends on the cause. For instance, acne papules might be reduced with skincare, while insect bite papules can be minimized with repellents.

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Author Spotlight

Written by
Tayyaba Rehman
Tayyaba Rehman is a distinguished writer, currently serving as a primary contributor to askdifference.com. As a researcher in semantics and etymology, Tayyaba's passion for the complexity of languages and their distinctions has found a perfect home on the platform. Tayyaba delves into the intricacies of language, distinguishing between commonly confused words and phrases, thereby providing clarity for readers worldwide.

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