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*Microorganisms - '''key feature'''. | *Microorganisms - '''key feature'''. | ||
**Often hyphae (candida) - like twigs of a tree... branching. | **Often hyphae (candida) - like twigs of a tree... branching. | ||
*Perivascular inflammation. | ***May be very fragmented in section ~ size of a neutrophil. | ||
*Perivascular inflammation, esp. neutrophils. | |||
*Exocytosis - blood cell infiltrate the epidermis. | *Exocytosis - blood cell infiltrate the epidermis. | ||
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===Stains=== | ===Stains=== | ||
*[[GMS]]. | *[[GMS stain]]. | ||
*[[PAS]]. | *[[PAS-D stain]]. | ||
===Sign out=== | |||
<pre> | |||
SKIN, BIOPSY: | |||
- SKIN WITH SUPERFICIAL FUNGAL ORGANISMS CONSISTENT WITH CANDIDA. | |||
- REACTIVE CHANGES OF THE EPITHELIUM. | |||
</pre> | |||
====Micro==== | |||
The sections show skin with a neutrophilic infiltrate in the superficial epidermis. PAS-D staining demonstrates fungal organisms with a morphology suggestive of candida. | |||
The epithelium has parakeratosis, acanthosis and spongiosis. No mitotic activity is appreciated. The keratinocytes are moderately enlarged and have evident nucleoli. | |||
==Cicatrix== | ==Cicatrix== |
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