40 BASICS
TABLE 4.2. (Continued)Hydropic degeneration Vacuolar damage to the stratum basale; frequently seen with discoid lupus
erythematosusHyper- and hypogranulosis Denotes thickness of stratum granulosum (e.g., areas of lichenification
reveal hypergranulosis)Hyperkeratosis Increased thickness of stratum corneum layer of epidermis; divided into
orthokeratosis (nuclei lost) and parakeratosis (nuclei retained); assists in
identifying an etiology (e.g., zinc-responsive dermatosis is characterized by
parakeratosis)Hypomelanosis Decrease in pigment; as seen in vitiligoMelanosis Hyperpigmentation; seen in chronic inflammationMicroabscess, eosinophilic Seen in EGC, allergy, pemphigus complex, Malassezia, eosinophilic
folliculitisMicroabscess, Munro’s Accumulation of neutrophils within or below the stratum corneum; often
seen in psoriasiform lichenoid dermatosis of springersMicroabscess, Pautrier’s Accumulation of abnormal lymphoid cells; often seen in epitheliotropic
lymphomaMicroabscess, spongiform Accumulation of neutrophils within stratum spinosum often seen with
superficial suppurative necrolytic dermatitis of schnauzersMucinosis Increased amounts of amorphous basophilic material in the dermis;
characteristic of normal skin in the shar-pei dog and in hypothyroidismNecrolysis Epidermal coagulative necrosis with no dermal involvement and minimal
inflammation; often seen with TEN and thermal burnsPapillomatosis Epidermal proliferation due to papilloma virus infection, often exophytic;
may be endophyticPigmentary incontinence Melanin pigment dropped from the epidermis into the dermis and
phagocytized by macrophages; often seen with DLEReticular degeneration Multilocular intraepidermal edema with keratinocyte swelling; often seen
with superficial necrolytic dermatitis/hepatocutaneous syndromeSatellitosis Cytotoxic lymphocytes surrounding an apoptotic cell; indicates
cell-mediated immune responseSpongiosis Epidermal intercellular edemaSclerosis Scar formationVacuolar degeneration Intracellular edemaDLE, discoid lupus erythematosus; EGC, eosinophilic granuloma complex; RBC, red blood cell; TEN, toxic epidermal
necrolysis; WBC, white blood cell.