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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Select examples of localized cutaneous blistering disorders

Select examples of localized cutaneous blistering disorders
Disorder Clinical features Diagnostic tests
Dermatitis Linear configuration if contact dermatitis. H&E: spongiosis
Bullous tinea pedis Vesicles on soles of feet or between the toes. KOH examination demonstrating hyphae or positive fungal culture
Fixed drug eruption Dusky violaceous patch, hemorrhagic bulla; may recur at same location with future drug exposures.

History

H&E: lichenoid or interface dermatitis

Erythema multiforme Targetoid papules on extremities and acral locations; hemorrhagic vesicles/bullae; intermittent recurrences usually associated with HSV infection. H&E: vacuolar interface dermatitis; positive confirmation of concurrent HSV outbreak
Friction blisters Most commonly seen on soles of feet or palms of hands at sites of friction.

History

H&E: intraepidermal blister

Coma blisters Tense blisters at sites of pressure in comatose patients.

History

H&E: subepidermal blister and eccrine gland necrosis

Bullous insect bites Intense pruritus and erythematous papules. History
Bullous disease of diabetes (bullous diabeticorum) Tense blisters found predominately on lower extremities. Lack of erythema or inflammation. Rare manifestation of diabetes.

H&E: pauci-inflammatory subepidermal blister

DIF: negative

Grover's (transient acantholytic dermatosis) Keratotic eroded papules and vesicles on the abdomen, chest, back. Male predominance. Often worsens with heat, exercise, hospitalization.

H&E: dyskeratosis and acantholysis

DIF: negative

H&E: hematoxylin and eosin pathology stain; DIF: direct immunofluorescence; KOH: potassium hydroxide; HSV: herpes simplex virus.
Graphic 82490 Version 2.0

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