Pathology

Acute:

  • Spongiosis
  • Vesicles / bullae
  • +/- eosinophils
  • Perivascular lymphocytes

Subacute:

  • No vesicles
  • Spongiosis (more subtle)
  • Acanthosis, hyperkeratosis, parakeratosis

Chronic:

  • Epidermal thickening, psoriasiform
  • ↓ spongiosis & inflammation
  • ↑ mast cells
  • ↑ dermal fibrosis