Pathology Quiz Online

       June 2004        Case - 20   

                     Dr  Sampurna Roy  MD    

               Clinical History:  A 31 year old male with a long history of recurrent, crusted plaque

                  in the right axilla.

                   Histological features: (click on the images)

                        - Broad, acantholytic suprabasal vesicle.

                - Prominence of acantholytic keratinocytes.

                - Intercellular edema causing partial acantholysis giving the characteristic 'dilapidated brick wall'

                  appearance.

                - Occasional dyskeratotic cells are present.

                - There is downward elongation of rete ridges.

                - Papillae covered by keratinocytes (villi) protrude into the bulla.

                                                     DIAGNOSIS:

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