Inflammatory
Superficial perivascular with:
1. Normal epidermis
a. Lymphocyte-predominant
i. Tinea versicolor basket-weave stratum corneum (SC) w hyphae AND spores.
ii. Dermatophyte compact SC w hyphae; pink cuticle; +/- neuts in SC.
iii. Erythrasma/pitted keratolysis filamentous bacteria in SC; PK = volar w
dells/pits in SC.
iv. Ichthyosis vulgaris no granular layer.
v. Vitiligo no melanocytes.
vi. Macular amyloid eosinophilic globules in papillary dermis; rete ridges
surround; pigment incontinence.
vii. Schambergs extravasated RBCs, hemosiderin.
viii. Postinflammatory pigmentary alteration (PIPA) melanophages in papillary
dermis.
ix. Minocycline pigmentation grayish, refractile (grainy), on collagen bundles,
often deep.
x. TMEP sparse mast cell infiltrate.
b. Eosinophil-predominant
i. Urticaria chronic only; sparse infiltrate
ii. Urticarial drug sparse infiltrate
iii. Urticarial BP lining up along DEJ, may have early splitting
iv. PUPPP moderate infiltrate (neither dense nor very deep)
v. Arthropod assault dense and deep infiltrate; wedge-shaped
c. Other (paucity of action)
i. Viral exanthem/morbilliform drug may have slight interface, NO eos.
ii. Urticarial DH neuts at DEJ.