Dermatitis: Difference between revisions

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===Non vesicullobullous, non-pustular lesions with epidermal changes===
===Non vesicullobullous, non-pustular lesions with epidermal changes===
====Spongiotic dermatitis====
{|class="wikitable"
{|class="wikitable"
! Main types<ref name="Alsaad2005"/> !! Characteristics !! Micrograph !! Photograph
!rowspan=2|  !!colspan=3| Characteristics !!rowspan=2| Micrograph !!rowspan=2| Photograph
|-
|-
! Spongiotic dermatitis<br>- epithelial intercellular edema<ref name="Alsaad2005"/> ||  ||  
| Acute || Subacute || Chronic
|-
! Generally/Not otherwise specified<ref group="notes" name="not-otherwise-specified"/>
| Typical findings:<ref name="Alsaad2005"/>
*Variable degree of epidermal spongiosis and vesicle formation, filled with proteinaceous fluid containing lymphocytes and histiocytes.
*Usually superficial dermal edema with perivascular lymphocytic infiltrate, with exocytosis.
*No acanthosis or parakeratosis.
| Typical findings:<ref name="Alsaad2005"/>
*Mild to moderate spongiosis and exocytosis of inflammatory cells
*Irregular acanthosis and parakeratosis.
*Superficial dermal perivascular lymphohistiocytic infiltrate
*Swelling of endothelial cells
*Papillary dermal edema are present
| Typical findings:<ref name="Alsaad2005"/>
*The spongiosis is mild to absent
*Pronounced irregular acanthosis, hyperkeratosis, and parakeratosis
*Minimal dermal inflammation and exocytosis of inflammatory cells are present.
*Possibly fibrosis of papillary dermis
PAS stain is essential to exclude fungal infection.<ref name="Alsaad2005"/>
|-
! Allergic/contact dermatitis or atopic dermatitis
| Eosinophils may be present in the dermis and epidermis (eosinophilic spongiosis).<ref name="Alsaad2005"/>
|
|
|-
! Seborrheic dermatitis
| Typical findings:<ref name=pathologyoutlines>{{cite web|url=https://www.pathologyoutlines.com/topic/skinnontumorseborrheicdermatitis.html|title=Skin inflammatory (nontumor) > Spongiotic, psoriasiform and pustular reaction patterns > Seborrheic dermatitis|author=Mowafak Hamodat|website=PathologyOutlines.com}} Topic Completed: 1 August 2011. Revised: 26 March 2019 </ref>
*Focal, usually mild, spongiosis with overlying scale crust, with a few neutrophils
*The crust is often centered on a follicle
*The papillary dermis is generally mildly edematous
*Dilated blood vessels in the superficial vascular plexus
*Mild superficial perivascular infiltrate of lymphocytes, histiocytes and occasional neutrophils. There is some exocytosis of inflammatory cells but not as prominent as in nummular dermatitis
| Typical findings:<ref name=pathologyoutlines/>
*Psoriasiform hyperplasia, initially slight, with mild spongiosis
*Usually numerous yeast-like organisms in the surface keratin
*Same changes as seen in acute stage.
| Typical findings:<ref name=pathologyoutlines/>
*More pronounced psoriasiform hyperplasia
*Only minimal spongiosis
*Presence of scaling crusts in a folliculocentric distribution, distinguishes from psoriasis.
|
| [[File:Seborrhoeic dermatitis example.jpg|190px]]
|}
 
====Interface and psoriaform====
{|class="wikitable"
! Main conditions<ref name="Alsaad2005"/> !! Characteristics !! Micrograph !! Photograph
|-
! Spongiotic dermatitis<br>- epithelial intercellular edema<ref name="Alsaad2005"/>  
|  
|  
|-
|-
| Interface dermatitis ||  ||  
| Interface dermatitis ||  ||