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Dermatopathology Slide Review Part 143 Paul K. Shitabata, M.D. Dermatopathology Institute Torrance, CA Wednesday, August 10, 11
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Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Jul 26, 2020

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Page 1: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Dermatopathology Slide Review Part 143

Paul K. Shitabata, M.D.Dermatopathology Institute

Torrance, CA

Wednesday, August 10, 11

Page 2: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 3: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 4: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 5: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 6: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 7: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 8: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Invasive Squamous Cell Carcinoma, Poorly

DifferentiatedWith Vascular and Perineural Invasion

Wednesday, August 10, 11

Page 9: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Perineural Invasion

Vascular Invasion

Wednesday, August 10, 11

Page 10: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 11: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 12: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 13: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 14: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Mongolian Spot

Wednesday, August 10, 11

Page 15: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Notes

• Histologically contains dendritic melanocytes

• DDX: Blue nevus, Nevus of Ito, Nevus of Ota

• Distinguish by clinical presentation

Wednesday, August 10, 11

Page 16: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Sparse pigmented dendritic melanocytes

Wednesday, August 10, 11

Page 17: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 18: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 19: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 20: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 21: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

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Pemphigus vulgaris

Wednesday, August 10, 11

Page 23: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Siuprabasilar Acantholysis

Acantholysis extends along follicular epithelium

Eosinophils

Wednesday, August 10, 11

Page 24: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 25: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 26: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 27: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 28: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Linear IgA Disease

Wednesday, August 10, 11

Page 29: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Notes

• DIF revealed linear deposit of IgA along DE junction

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Page 30: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Papillary Dermal Microabscess

Neutrophils Predominate over EosinophilsWednesday, August 10, 11

Page 31: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 32: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

Page 33: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Wednesday, August 10, 11

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Page 35: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Pemphigus Foliaceus

Wednesday, August 10, 11

Page 36: Dermatopathology Slide Review Part 143 - DermpathMD.comdermpathmd.com/cases/dermatopathology_general... · 2020-03-31 · Dermatopathology Slide Review Part 143 Paul K. Shitabata,

Acantholytic cells clinging to stratum corneum “Klingons”

Wednesday, August 10, 11