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Difference between revisions of "Non-malignant skin disease"
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→Acne vulgaris: +Acne rosacea
(→Keloid: more) |
(→Acne vulgaris: +Acne rosacea) |
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DDx - acneiform disorder:<ref name=Ref_Derm77>{{Ref Derm|77}}</ref> | DDx - acneiform disorder:<ref name=Ref_Derm77>{{Ref Derm|77}}</ref> | ||
*Rosacea. | *[[Rosacea]]. | ||
*Infective folliculitis. | *Infective folliculitis. | ||
*Perioral dermatitis. | *Perioral dermatitis. | ||
| Line 552: | Line 552: | ||
Image: | Image: | ||
*[http://www.dermnet.com/images/Acne-Histology/picture/4069 Acne (dermnet.com)]. | *[http://www.dermnet.com/images/Acne-Histology/picture/4069 Acne (dermnet.com)]. | ||
==Acne rosacea== | |||
*[[AKA]] ''rosacea''. | |||
===General=== | |||
*Common but rarely biopsied.<ref name=Ref_Derm79>{{Ref Derm|79}}</ref> | |||
*May lead to ''rhinophyma'' - large bulbous nose. | |||
===Gross=== | |||
Features: | |||
*Early: erythema, comedones, papules, pustules. | |||
*Late: large bulbous nose with erythema. | |||
<gallery> | |||
Image:Rhinopyma.JPG | Rhinopyma. (WC) | |||
</gallery> | |||
===Microscopic=== | |||
Features: | |||
*Perifollicular and perivascular lymphocytes. | |||
*Vascular dilation. | |||
*Folliculitis. | |||
*Dermal fibrosis (late stage). | |||
*Sebaceous gland hyperplasia (late stage). | |||
===Sign out=== | |||
<pre> | |||
NOSE, DE-BULKING: | |||
- COMPATIBLE WITH RHINOPHYMA-ROSACEA SPECTRUM. | |||
</pre> | |||
====Micro==== | |||
The sections shows hair-bearing skin with sebaceous hyperplasia and vertically oriented dermal fibrosis. Ther dermis has a lymphoplasmacytic infiltrate. Several epidermal hair follicle cysts are present. Focal giant cell formation is seen. | |||
==Solar elastosis== | ==Solar elastosis== | ||