An Examination of a Decision Procedure by F.C. Oglesby

By F.C. Oglesby

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Clusters of thick-walled vessels and fibrosis are evident in the superficial dermis. Differential Diagnosis Stasis dermatitis is distinguished from other forms of spongiotic dermatitis by the vascular and connective tissue changes. , acroangiodermatitis of the Mali type, so-called pseudo-Kaposi sarcoma). Other Manifestations of Spongiotic (Eczematous) Dermatitis Photoallergic Dermatitis This type IV cell-mediated immune reaction is induced by applied substances (photoallergic contact dermatitis) or by systemically administered medications.

Pattern 7 Dermocentric Change (Inflammatory, or Neoplastic with Relationship to/Derivation from Inflammatory Elements) Elements of the pattern: This dermocentric pattern encompasses dermal infiltrates due to either inflammation or neoplasia composed of lymphoid or other cell types. These can be grouped in three ways. One is by their location within the dermis: superficial (viral exanthems), or superficial and deep (lupus erythematosus). Two is by their predominant cell type (lymphocytes—polymorphic light eruption; eosinophils—arthropod bites; neutrophils—Sweet syndrome; granulomas—sarcoidosis; fibroblast-like cells—scleromyxedema).

To a drug or lymphoma [most noteworthy, in the form of Sézary syndrome]), can be idiopathic, or can result from generalization of a primary cutaneous disease. Thus, psoriasis, pityriasis rubra pilaris, seborrheic dermatitis, or even allergic contact dermatitis have been associated with an exfoliative dermatitis, and congenital ichthyosiform erythroderma is an inherited form of ichthyosis that is virtually by definition an exfoliative dermatitis. Treatment is directed toward the underlying cause of exfoliation, including, when relevant, the underlying primary dermatosis.

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