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===Stains=== | ===Stains=== | ||
*[[PASD stain]] -ve for [[fungi|fungal]] organisms. | *[[PASD stain]] -ve for [[fungi|fungal]] organisms. | ||
===Sign out=== | |||
<pre> | |||
SKIN LESION, RIGHT FOOT, PUNCH BIOPSY: | |||
- SKIN WITH ACANTHOSIS, HYPERKERATOSIS, FOCAL PARAKERATOSIS, PROMINENT | |||
DILATED VESSELS IN THE SUPERFICIAL DERMIS, SUPERFICIAL SPONGIFORM PUSTULES. | |||
- MILD NONSPECIFIC PERIVASCULAR INFLAMMATION. | |||
- NEGATIVE FOR FUNGAL ORGANISMS WITH PAS STAINING. | |||
COMMENT: | |||
The findings are compatible with psoriasis. There may be an element of lichen simplex | |||
chronicus. | |||
</pre> | |||
====Micro==== | |||
The sections show skin with acanthosis, hyperkeratosis, focal parakeratosis, prominent | |||
dilated vessels in the superficial dermis, superficial clusters of intraepidermal | |||
neutrophils (spongiform pustules) and thinning of the suprapapillary plate is present. | |||
A few perivascular inflammatory cells are present. | |||
There is no epidermal necrosis. Eosinophils are not apparent. The lymphocytes do not have | |||
significant atypia. | |||
==Lichen striatus== | ==Lichen striatus== |
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