Interface dermatosis is a common form of inflammatory dermatosis. A wide
range of inflammatory skin diseases exhibit interface change with
considerable overlap of histological features.
The term "lichenoid" is avoided by some pathologists because of clinical
and histological difference in the definition of this term.
The following features are characteristic of interface dermatitis:
I- Mild or dense inflammatory infiltrate composed of mainly mononuclear
cells. This feature is essential to make a diagnosis of an interface
dermatitis.
II- Vacuolar or hydropic change due to basal cell degeneration.
III- Colloid or civatte bodies are eosinophilic bodies formed as a
result of apoptosis. These may be present in the lower part of the epidermis (suprabasal) or in the dermis.
IV- Pigment incontinence due to damage of basal keratinocytes and
melanocytes.
Interface dermatitis is divided into five groups-
I- Lichenoid
(lichen planus-like) interface reactions: click
Eg- Lichen Planus
Lichenoid keratosis
Lichenoid drug eruption
Lichen Nitidus: click
Lichen Striatus
II- Vacuolar (Erythema Multiforme-like) Reaction:
Eg- Erythema Multiforme
Toxic epidermal necrolysis
Acute graft vs host disease
(Cutaneous
lesions in graft versus host disease: click)
Pityriasis lichenoides
Lupus erythematosus (acute & subacute)
Fixed drug eruption
(Drug induced
cutaneous lesions: click)
III- Atrophic (Poikilodermatous) Reaction:
Eg- Atrophic lichen planus
Systemic lupus erythematosus
Dermatomyositis
Mycosis Fungoides
IV- Interface Reactions with Irregular Epidermal Hyperplasia:
Eg- Hypertrophic lichen planus
Rare lichenoid drug eruptions
Verrucous lupus erythematosus
V- Interface Reactions with Psoriasiform Hyperplasia
Eg- Pityriasis lichenoides
Mycosis fungoides
Secondary syphilis
Lichen aureus
Histopathology
Images of Lichen Planus:
Image Link1
;
Image Link2
;
Image Link3
.
|