Plate 21.
(X100, H&E) Epiderars: Extensive transepidermal
damage (with slightly less involved zones on
erther side). Loose lamination of stratum
corneum, absence of stratum eranulosum. Parakeratinization with exfoliation of pigment containing cells. Disorganization of the malpiynian
layer. Dermis:
Mald edema of pars papillaris
with indistinct capillary loops. Perivascular
cellular infiltrate

(lymphocytes and mononuclear

phagocytes), in superficial corium with telangi-

mw™,..

ectasis.

Plate 22.
(X¥100, H&E) Epidermis:
Arcades of minimal
damage occur in relation to excretory ducts

of sweat

good width

glands.

Stratum granulosum of

and shows scant alteration.

Underlying stratum malpighii shows decrease
in pigment. In the deeper portion of the
overlying, loosely laminated stratum
corneum moderate amounts of pigment, however, are present. One narrow arcade of
more severe transepidermal damage at

the left of the photomicrograph shows

alteration of the stratum granulosum with
intercellular edema, pyknosis,

swollen

nuclei, and pigment scattered throughout.
The latter is especially dense in the
contiguous parakeratotic material. Dermis:
A moderate cellular infiltrate, chiefly
perivascular,is most pronounced in the

Old

superficial pars reticularis where there
1s a mild telangiectasis. Case 24.

Case

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