Top Banner
PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND INFANT XIII. practical training 3 rd year General Medicine
59

PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Jun 20, 2020

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

PATHOLOGY OF THE SKIN.

PERINATAL PATHOLOGY,

PATHOLOGY OF THE

NEWBORN AND INFANT

XIII. practical training

3rd year General Medicine

Page 2: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Inflammatory dermatosis

Spogiotic dermatosis

Psoriasiform dermatosis

Vesikulobulous dermatosis

Cytotoxic dermatosis

Angiocentric dermatosis

Granulocytic dermatosis

Granulomatous dermatosis

Paniculitis

Page 3: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Spongiotic dermatitis (subacute eczema dermatitis)

Page 4: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis

Chronic course of disease (hyperproliferation of epidermis)

Hyperkeratosis

Parakeratosis

Oedema of papils

Neutrofil leukocytes in stratum corneum

Different forms:

papuls, plaqs, erytrodermia, alteration of unguis,

hyperpigmentation

General symptoms, arthropathy

Side effect of treatment (solar keratosis)

Page 5: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis

Page 6: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis,

erythrodermia

Page 7: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis

Page 8: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis

Page 9: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis

Page 10: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis

guttata

Page 11: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis, chronic alteration of unguis

Page 12: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis palmaris (palmoplantaris)

Page 13: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis

1

1

2

2

3

1 acanthosis

2 compact hyperkeratosis

with parakeratosis

3 stratum granulosum is absent

Page 14: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis, microabscesis of

Munrooy (residues of neutrophil leukocytes in stratum corneum)

parakeratotic lamellae

with neutrophil residues

Page 15: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Psoriasis pustulosa palmoplantaris

intraepidermal pustule, acanthosis

Page 16: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

TBC, Lupus vulgaris

Page 17: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

TBC, Lupus vulgaris

Page 18: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

TBC, Lupus vulgaris, TBC verrucosa

tuberculous granulomas with

multiple Langhan’s cells

Page 19: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Atheroma of the skin with inflammatory and giant cell reaction

Page 20: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Verrucae vulgaris

Page 21: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Verruca vulgaris, palma

Page 22: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Verruca vulgaris

1

2

3

1 hyperkeratosis

2 papilomatosis

3 parakeratosis

Page 23: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Verruca vulgaris

1

1 parakeratosis

Page 24: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Molluscum contagiosum

Page 25: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Molluscum contagiosum

Page 26: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Verruca seborrhoica

Page 27: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Verruca seborrhoica

Page 28: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Verruca seborrhoica

1 2

1 hinges of proliferating basaloid cells, 2 abruptive keratosis

Page 29: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Verruca seborrhoica

1 proliferating basaloid cells, melanin

2 abruptive keratosis

Page 30: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Bowen’s dermatosis

Page 31: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Bowen’s dermatosis

dysplastic, polymorphic keratinocytes (spread in adnexal epithelium)

Page 32: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Bowen’s dermatosis

dysplastic, polymorphic keratinocytes in groups

Page 33: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Bowen’s dermatosis

acanthosis,

hyperkeratosis with parakeratosis

Page 34: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Keratinizing squamous cell carcinoma

Page 35: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Keratinizing squamous cell carcinoma

Page 36: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Keratinizing squamous cell carcinoma, infiltrating

1

2

1 tumour infiltration, 2 hyperkeratosis, acanthosis

Page 37: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Keratinizing squamous cell carcinoma, infiltrating

1

2

2

2

1 keratinization in tumour hinge, 2 mitosis

Page 38: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basal cell carcinoma

Page 39: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basal cell carcinoma

Page 40: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basal cell carcinoma

Page 41: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basalioma terebrans

Page 42: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basal cell carcinoma

Hinges of basaloid tumour epithelium, pigmentation (melanin)

1 fissure between tumour epithelium and fibrous stroma of

corium

1

Page 43: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basal cell carcinoma

1

2

1 tumour hinges

2 pigment

Page 44: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basal cell carcinoma

1 fissure between tumour epithelium and

fibrous stroma of corium 1

Page 45: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basal cell carcinoma with pigment

Page 46: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basal cell carcinoma, superficial

multiple focuses

lymphocytic infiltrate

in base

Page 47: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Basal cell carcinoma, infiltrating (morphea type)

1

2

1 infiltrating tumour hinges, 2 sclerotic fibrous tissue

3 inflammatory infiltrate

3

1

1

Page 48: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Junctional nevocellular nevus

Page 49: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Intradermal nevocellular nevus

Page 50: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Malignant melanoma

Page 51: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Malignant melanoma

Page 52: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Malignant melanoma

Page 53: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Malignant melanoma

Page 54: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND
Page 55: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Aspiration of amniotic fluid

Page 56: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Respiratory distress syndrome – hyaline membranes

Page 57: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Hyaline membranes

1 Undeveloped alveoli

2 Hyaline membranes

1 2

1

1

2

2

Page 58: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Hyaline membranes

1 Hyaline membranes

1

1

1

1

Page 59: PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/180.pdf · PATHOLOGY OF THE SKIN. PERINATAL PATHOLOGY, PATHOLOGY OF THE NEWBORN AND

Respiratory distress syndrome – acute catarrhal

bronchopneumonia