Urticaria Pigmentosa – low magnification

LEGEND

Sometimes, hyperpigmentation of the basement membrane and a few melanophages in the superficial dermis are observed.

Note: The histopathological changes of mastocytosis are often very subtle, and the specimen may resemble normal skin.

  • Superficial perivascular infiltrate of mast cells +/- eosinophils

Urticaria Pigmentosa – high magnification

LEGEND

  • Mast cells have a large central nucleus with a “fried egg” appearance. They contain granules.

Urticaria Pigmentosa

LEGEND

Superficial perivascular infiltrate of mast cells +/- eosinophils

  • Sometimes, hyperpigmentation of the basement membrane and a few melanophages in the superficial dermis are observed.

  • Mast cells have a large central nucleus with a “fried egg” appearance. They contain granules.

Urticaria Pigmentosa

Leder stain highlights the granules of mast cells in red.

Urticaria Pigmentosa

Immunohistochemistry: CD117/KIT receptor positive