Difference between revisions of "Stasis dermatitis"
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*No basal atypia. | *No basal atypia. | ||
==Sign out== | |||
<pre> | |||
SKIN LESION, RIGHT ANTERIOR TIBIA, PUNCH BIOPSY: | |||
- SKIN WITH HYPERKERATOSIS, HYPERGRANULOSIS, MILD ACANTHOSIS WITH SAWTOOTH | |||
RETE RIDGES AND A PALE CONGESTED APPEARING SUPERFICIAL DERMIS. | |||
- NEGATIVE FOR DYSPLASIA. | |||
- NEGATIVE FOR MALIGNANCY. | |||
COMMENT: | |||
The clinical findings are noted. Followup is suggested. The findings are compatible | |||
with stasis dermatitis. | |||
</pre> | |||
===Micro=== | |||
The sections show skin with hyperkeratosis, parakeratosis and mild acanthosis. | |||
The superficial dermis appears pale and congested. Solar elastosis is present. | |||
There is no significant inflammation. No basal atypia is apparent. Mitotic activity is not | |||
readily identified. No parakeratosis is apparent. | |||
==See also== | ==See also== | ||
Revision as of 15:04, 9 June 2014
Stasis dermatitis is a relatively common skin pathology in elderly individuals.
General
- Due to venous stasis.[1]
Gross
Features:
- Location: lower legs - important.
- Lightly brown papules and plaques.
- Pitting edema.
Microscopic
Features:
- Pale superficial dermis.
- Sawtooth rete ridges.
- No basal atypia.
Sign out
SKIN LESION, RIGHT ANTERIOR TIBIA, PUNCH BIOPSY: - SKIN WITH HYPERKERATOSIS, HYPERGRANULOSIS, MILD ACANTHOSIS WITH SAWTOOTH RETE RIDGES AND A PALE CONGESTED APPEARING SUPERFICIAL DERMIS. - NEGATIVE FOR DYSPLASIA. - NEGATIVE FOR MALIGNANCY. COMMENT: The clinical findings are noted. Followup is suggested. The findings are compatible with stasis dermatitis.
Micro
The sections show skin with hyperkeratosis, parakeratosis and mild acanthosis. The superficial dermis appears pale and congested. Solar elastosis is present.
There is no significant inflammation. No basal atypia is apparent. Mitotic activity is not readily identified. No parakeratosis is apparent.
See also
References
- ↑ Weaver J, Billings SD (December 2009). "Initial presentation of stasis dermatitis mimicking solitary lesions: a previously unrecognized clinical scenario". J. Am. Acad. Dermatol. 61 (6): 1028–32. doi:10.1016/j.jaad.2009.04.025. PMID 19925928.