Porphyria cutanea tarda

LEGEND

Subepidermal blister with a viable roof and pauci-inflammatory pattern (very mild inflammation)

  • Hyaline deposits (pale pink and homogeneous) around blood vessels

  • Caterpillar bodies: characterized by eosinophilic material arranged in a linear pattern originating from the basement membrane. When located beneath the blister roof, it resembles a caterpillar

    This finding is not specific to porphyria

Porphyria cutanea tarda

LEGEND

Very mild to absent inflammation

  • Hyaline deposits (pale pink and homogeneous) around blood vessels.

  • Dermal fibrosis with denser and more prominent collagen fibers.

Porphyria cutanea tarda

LEGEND

All characteristic features of porphyria are visible in this section

  • Subepidermal blister with a viable roof and mild inflammation

    Hyaline deposits around blood vessels

    Dermal fibrosis

  • Festooning: preservation of the shape of the dermal papillae