Biphasic cutaneous amyloidosis

LEGEND

A term that encompasses macular amyloidosis and lichen amyloidosis (papular), which are considered part of the same disease spectrum. They are characterized by amyloid deposition limited to the upper dermis, particularly the papillary dermis.

Superficial perivascular lymphohistiocytic infiltrate

Presence of melanophages in the dermis

  • An amorphous, eosinophilic, fissured substance is observed in the papillary dermis

  • The epidermis may become reactive over time and with scratching, showing: orthohyperkeratosis, hypergranulosis and acanthosis

Biphasic cutaneous amyloidosis

The observed substance stains positive with crystal violet (purple color)