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*Hyperkeratosis (more keratin - thick stratum corneum) - in "columns"; keratin in separate towers - ''not'' a flat thick sheet. | *Hyperkeratosis (more keratin - thick stratum corneum) - in "columns"; keratin in separate towers - ''not'' a flat thick sheet. | ||
*Hypergranulosis (thicker stratum granulosum). | *Hypergranulosis (thicker stratum granulosum). | ||
* | *''Papillomatous hyperplasia'': | ||
** | **Rete ridge lengthening (~7-10x normal) and thickening. | ||
**Rete ridge curvature toward the centre of the lesion (like the roads to the ''Palace of Versailles'') - '''important'''. | |||
*Large blood vessels at the dermal-epidermal junction - between the rete ridges. | *Large blood vessels at the dermal-epidermal junction - between the rete ridges. | ||
*+/-Viral changes - perinuclear halo, nucleus small and hyperchromatic<ref name=Ref_Derm106-7>{{Ref Derm|106-7}}</ref> - ''' | *+/-Viral changes - perinuclear halo, nucleus small and hyperchromatic<ref name=Ref_Derm106-7>{{Ref Derm|106-7}}</ref> - virtually '''diagnostic''' when present. | ||
**+/-Binucleation. | **+/-Binucleation. | ||
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