There is no difference according to this page:
[https://link.springer.com/chapter/10.1007/978-1-4614-2218-1_2](https://link.springer.com/chapter/10.1007/978-1-4614-2218-1_2)
But if someone is differentiating them, it is similar to the difference between a scab and a scar. Specifically, an area of dymyelination is actively missing the nerve insulation and a lesion is an area that previously lost insulation but has since healed.
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