Psoriasis

LEGEND

An increase in the width of the base of the epidermal ridges is observed, also known as clubbed rete ridges due to their resemblance to a golf club.

The term psoriasiform acanthosis may be used when there is thickening of the entire epidermis with elongation of the rete ridges resembling those seen in psoriasis.

  • Epidermal ridges elongated in a regular fashion (all symmetrical in both width and length)

Psoriasis

LEGEND

  • Elongation and widening of the epidermal ridges that eventually fuse at their base

Psoriasis

LEGEND

Dilated vessels in the papillary dermis near the surface clinically correspond to Auspitz sign

  • Thinning of the suprapapillary plates of the epidermis brings the dilated papillary dermal vessels closer to the skin surface

  • Hypogranulosis resulting in thinning or complete absence of the epidermal granular layer

Psoriasis

LEGEND

  • Thinning of the suprapapillary epidermal plates bringing the dilated vessels of the papillary dermis closer to the skin surface

Psoriasis

LEGEND

  • Thinning of the suprapapillary epidermal plates bringing the dilated vessels of the papillary dermis closer to the skin surface

Psoriasis

LEGEND

Parakeratosis is characterized by keratinocytes of the stratum corneum (also called corneocytes) retaining their nuclei.

  • Compact, layered parakeratotic hyperkeratosis

Psoriasis

LEGEND

  • Spongiform pustule of Kogoj, which corresponds to an intraepidermal collection of neutrophils

Psoriasis

Spongiform pustule of Kogoj under high magnification

Psoriasis

Spongiform pustule of Kogoj

Psoriasis

LEGEND

  • Spongiform pustule of Kogoj

Psoriasis

LEGEND

  • Munro microabscess, which corresponds to an intracorneal collection of neutrophils

Psoriasis

Munro microabscess, which corresponds to an intracorneal collection of neutrophils