Acne rosacea

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Acne rosacea, also known as rosacea, a common inflammatory skin disorder that uncommonly gets biopsied.[1]

General

  • May lead to rhinophyma - large bulbous nose.

An acneiform disorder - this group includes:[2]

  • Rosacea.
  • Infective folliculitis.
  • Perioral dermatitis.
  • Acne vulgaris.

Gross

Features:

  • Early: erythema, comedones, papules, pustules.
  • Late: large bulbous nose with erythema.

Microscopic

Features:

  • Perifollicular and perivascular lymphocytes.
  • Vascular dilation.
  • Folliculitis.
  • Dermal fibrosis (late stage).
  • Sebaceous gland hyperplasia (late stage).

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NOSE, DE-BULKING:
- COMPATIBLE WITH RHINOPHYMA-ROSACEA SPECTRUM.

Micro

The sections shows hair-bearing skin with sebaceous hyperplasia and vertically oriented dermal fibrosis. A perivascular and perifollicular lymphoplasmacytic infiltrate is present. Several epidermal hair follicle cysts are present. Focal giant cell formation is seen.

The epidermis is thin and shows no significant nuclear atypia.

See also

References

  1. Busam, Klaus J. (2009). Dermatopathology: A Volume in the Foundations in Diagnostic Pathology Series (1st ed.). Saunders. pp. 79. ISBN 978-0443066542.
  2. Busam, Klaus J. (2009). Dermatopathology: A Volume in the Foundations in Diagnostic Pathology Series (1st ed.). Saunders. pp. 77. ISBN 978-0443066542.