Dermatopathology: Foundations in Diagnostic Pathology

Cysts and Sinuses

A cyst is a dilated, saclike cavity lined by various types of epithelia. In the vast majority of cases, cutaneous cysts are lined by one type of epithelium, most commonly stratified squamous epithelium. Infrequently, cutaneous cysts may have significant portions…

Non-neoplastic Disorders of Hair

Non-neoplastic disorders of hair comprise mainly the alopecias and hair shaft abnormalities. In this chapter, only the alopecias are considered. Their diagnosis requires close clinicopathologic correlation. The hair shaft abnormalities are covered extensively in various textbooks and atlases, and readers…

Non-neoplastic Disorders of Pigmentation

This chapter describes key clinical and histologic features of relatively common or well-known non-neoplastic disorders of pigmentation. Café-Au-Lait Macules Clinical Findings Café-au-lait macules are very common. Solitary lesions are seen in approximately 10% to 20% of the adult population. They…

Blistering Skin Diseases

A blister is a fluid-filled space within or beneath the epidermis. Blisters may occur as a secondary event caused by factors such as infections (e.g., viral, bacterial), ischemia (e.g., vasculitis), burns, or inflammation leading to disruption of the dermal-epidermal junction…

Cutaneous Vasculitis

Vasculitis is a histologic diagnosis defined as inflammatory cell infiltration and destruction of blood vessels. Vasculitis is generally classified as primary vasculitis (idiopathic e.g., cutaneous leukocytoclastic angiitis [CLA], granulomatosis with polyangiitis [GPA]); secondary vasculitis (a manifestation of connective tissue diseases…

Infectious Diseases of the Skin

Viral Infections Human Papilloma Virus Warts (Verrucae) The human papilloma virus (HPV) is the most prominent member of the papovaviruses group. There are more than 100 distinct HPV genotypes, some of which have oncogenic potential. Clinical Findings Different HPV strains…

Panniculitis

This chapter reviews inflammatory diseases involving the subcutaneous fat tissue (panniculitis). Although panniculitis is typically centered on the subcutis, many forms of panniculitis are associated with internal organ involvement or represent a manifestation of an associated systemic disease. The focus…

Inflammatory Diseases of the Dermis and Epidermis

Inflammatory disorders of the skin have typically been classified by etiology (suspected or confirmed), clinical features, histologic features (e.g., reaction patterns), location in the skin, or all of the above, as remains the tradition in Foundations in Diagnostic Pathology .…