Some T cells selectively home to skin by virtue of homing receptors called Cutaneous Lymphocyte Antigen (CLA) Epidermis contains intra epithelial lymphocytes including Gamma / Delta cells
Macule
Papule
Nodule
Plaque
Vesicle
Bulla
Pustule
Scale
Lichenification
Excoriation
Hyperkeratosis
Parakeratosis
Acanthosis
Dyskeratosis
Acantholysis
Papillomatosis
Lentiginous
Spongiosis
Acute inflammatory Dermatoses In Acute – mononuclear cells than neutrophils due to their limited course of their natural history Urticaria – more common between 20 – 40 yrs Lesions usually exists for less than 24 hrs Pruritc papule to large edematous plaques
Acute Eczematous dermatitis Eczema – red , papulo vesicular oozing crested lesion Later they can develop into raised scaling plaques Most common form is contact dematitis Spongiosis ossurs So called spongiotic dermatitis
Erythema multiforme ■ ■ ■ ■ ■ ■ Self limited Hypersensitivity to drugs / infections Drubs – sulphonamides , penicillins , salycylates Infection – HSV , mycoplasma , Fungal infections – Histoplasma Capsulatum and Coccidiodes imitis Multiform lesions – Targetoid lesion – Red papule or macule with a pale vesicular or eroded centre Papules , macules ,vesicles ,bullae