British Society for Dermatopathology 2011 Findings
July 2011
in “
British Journal of Dermatology
”
cutaneous vasculitis hypersensitivity vasculitis Henoch-Schönlein purpura pyoderma gangrenosum Staphylococcus aureus papillary dermal elastolysis elastin lichenoid conditions granulomatous rosacea plaque morphoea linear lichen sclerosus X-chromosome lyonization skin vasculitis HSP staph infection rosacea morphea lichen sclerosus
TLDR Dermatologists give better information on pathology forms, hypersensitivity vasculitis is a common skin issue, misdiagnoses can occur, and various skin conditions are linked to loss of elastin or genetic factors.
The document from 2011 presents findings from several dermatological studies and case reports. One study (DP-17) compared the quality of clinical information on pathology requisition forms submitted by dermatologists, GPs, and surgeons, finding that dermatologists provided more complete and differential diagnoses. Another study (DP-18) involving 61 patients with cutaneous vasculitis identified hypersensitivity vasculitis and Henoch-Schönlein purpura as the most common forms, with 60% of cases being idiopathic. A case report (DP-20) detailed a misdiagnosis of pyoderma gangrenosum in a 43-year-old patient, which was later correctly identified as a Staphylococcus aureus skin infection. Additionally, a study (DP-21) on papillary dermal elastolysis with 203 specimens suggested that loss of elastin in the papillary dermis is common in lichenoid conditions. The document also includes a case of granulomatous rosacea diagnosed as FMF stage 1A, treated successfully without systemic treatment, and a unique case of unilateral plaque morphoea coexisting with linear lichen sclerosus, which may be due to X-chromosome lyonization.
