Index by Pattern

  • Acantholysis
  • Actinic keratosis
  • Darier disease
  • Grover disease
  • Hailey-Hailey disease
  • Herpes virus infection
  • Pemphigus foliaceus
  • Pemphigus vulgaris
  • Pityriasis rubra pilaris
  • Squamous cell carcinoma
  • Warty dyskeratoma

  • Acanthosis, regular epidermal
  • Bowen disease
  • Clear cell acanthoma
  • Inflammatory linear verrucous epidermal nevus
  • Psoriasis

  • Band-like dermal/papillary dermal infiltrate
  • Langerhans cell histiocytosis
  • Lichen nitidus
  • Mastocytosis
  • Mycosis fungoides
  • Zoon balanitis

  • Blue dense infiltrate see Diffuse/nodular infiltrate

  • Blue tumor
  • Basal cell carcinoma
  • Glomus tumor
  • Lymphoma
  • Merkel cell carcinoma
  • Sebaceoma (sebaceous epithelioma)
  • Sebaceous carcinoma
  • Spiradenoma
  • Trichoblastoma
  • Trichoepithelioma
  • Tufted angioma

  • “Busy” dermis
  • Blue nevus, hypopigmented
  • Dermatofibroma
  • Granuloma annulare
  • Kaposi sarcoma
  • Leukemia cutis
  • Metastatic breast carcinoma, interstitial pattern (carcinoma en cuirasse)

  • Central pore
  • Dilated pore of Winer
  • Pilar sheath acanthoma
  • Trichofolliculoma

  • Change in the fat see Fat, change in the

  • Circular dermal islands
  • Adenoid cystic carcinoma
  • Cylindroma
  • Spiradenoma
  • Trichoadenoma
  • Trichoblastoma

  • “Clear cells”
  • Angiolipoma
  • Clear cell acanthoma
  • Cryptococcosis, gelatinous
  • Granular cell tumor
  • Hibernoma
  • Histoplasmosis
  • Leishmaniasis
  • Lepromatous leprosy
  • Lipoma
  • Melanoma, balloon cell
  • Nodular hidradenoma
  • Renal cell carcinoma
  • Sebaceous adenoma
  • Trichilemmoma
  • Xanthelasma
  • Xanthogranuloma
  • Xanthoma

  • Cords/tubules and comma shapes
  • Desmoplastic trichoepithelioma
  • Metastatic breast carcinoma
  • Microcystic adnexal carcinoma
  • Morpheaform basal cell carcinoma
  • Syringoma

  • Dermal material
  • Amyloidosis, nodular
  • Calcinosis cutis
  • Cryoglobulinemia (type I)
  • Erythropoietic protoporphyria
  • Gel foam
  • Gout
  • Hyaluronic acid (dermal filler)
  • Lipoid proteinosis
  • Ochronosis
  • Osteoma cutis
  • Paraffinoma
  • Pseudoxanthoma elasticum
  • Tattoo
  • see also Mucin; Pink material

  • Diffuse/nodular infiltrate
  • Acne keloidalis
  • Discoid lupus erythematosus
  • Granuloma faciale
  • Leukemia (myelogenous)
  • Lymphoma
  • Mastocytoma
  • Sweet syndrome

  • Endothelial cells (suggestion of vessels)
  • Angioleiomyoma
  • Angiolymphoid hyperplasia with eosinophilia
  • Angiosarcoma
  • Bacillary angiomatosis
  • Chondrodermatitis nodularis helicis
  • Dermatofibroma, hemosiderotic
  • Fibrous papule
  • Glomus tumor/glomuvenous malformation (glomangioma)
  • Infantile hemangioma
  • Kaposi sarcoma
  • Lichen sclerosus
  • Pyogenic granuloma
  • Radiation dermatitis
  • Stasis dermatitis
  • Targetoid hemosiderotic hemangioma (hobnail angioma)

  • Eosinophils, epidermal
  • Allergic contact dermatitis
  • Arthropod bite reaction
  • Bullous pemphigoid
  • Incontinentia pigmenti
  • Pemphigus vegetans
  • Scabies

  • Epidermal necrosis
  • Aspergillosis
  • Burn
  • Erythema multiforme
  • Herpes simplex infection
  • Nutritional deficiency

  • Epidermal perforation
  • Calcinosis cutis, perforating
  • Elastosis perforans serpiginosa
  • Granuloma annulare, perforating
  • Reactive perforating collagenosis

  • Fat, change in the
  • Angiolipoma
  • Dermatofibrosarcoma protuberans (often extends into the fat)
  • Erythema induratum
  • Erythema nodosum
  • Hibernoma
  • Lipodermatosclerosis
  • Lupus profundus
  • Nodular fasciitis (often deep in the fat)
  • Pancreatic fat necrosis
  • Polyarteritis nodosa
  • Post-steroid panniculitis
  • Sclerema neonatorum
  • Subcutaneous fat necrosis of newborn
  • Subcutaneous T-cell lymphoma

  • Giant cells
  • Atypical fibroxanthoma
  • Erythema nodosum
  • Giant cell tumor of tendon sheath
  • Juvenile xanthogranuloma
  • Mucocele
  • Necrobiosis lipoidica
  • Necrobiotic xanthogranuloma
  • Pilomatricoma
  • Reticulohistiocytosis
  • Rosai-Dorfman disease
  • Ruptured cyst/keratin granuloma
  • Sarcoidosis
  • Scar
  • Suture granuloma

  • Granular “material” in cells
  • Aluminum chloride (Drysol solution)
  • Ferric subsulfate (Monsel solution)
  • Granular cell tumor
  • Hemosiderin
  • Leishmaniasis
  • Melanin
  • Tattoo

  • Hyperkeratosis/parakeratosis
  • Actinic keratosis
  • Axillary granular parakeratosis
  • Bowen disease
  • Chondrodermatitis nodularis helicis
  • Dermatophytosis
  • Discoid lupus erythematosus
  • Epidermolytic hyperkeratosis
  • Flegel disease
  • Ichthyosis vulgaris
  • Inflammatory linear verrucous epidermal nevus
  • Lichen planus
  • Lichen sclerosus
  • Nutritional deficiency
  • Pityriasis lichenoides et varioliformis acuta
  • Pityriasis rubra pilaris
  • Porokeratosis
  • Tinea versicolor
  • see also Parakeratosis

  • Interface (lichenoid) change
  • Discoid lupus erythematosus
  • Halo nevus
  • Lichen planus
  • Lichen striatus
  • Pityriasis lichenoides et varioliformis acuta

  • Interface (vacuolar) change
  • Erythema multiforme
  • Fixed drug reaction
  • Graft-versus-host disease
  • Lichen sclerosus

  • Lichenoid interface change see Interface (lichenoid) change

  • Lobular proliferation (proliferation downward from epidermis)
  • Inverted follicular keratosis
  • Molluscum contagiosum
  • Poroma
  • Seborrheic keratosis, acanthotic
  • Trichilemmoma

  • Melanocytes
  • Blue nevus
  • Blue nevus, cellular
  • Deep penetrating nevus
  • Intradermal nevus
  • Melanoma
  • Melanoma, balloon cell
  • Melanoma, desmoplastic
  • Mongolian spot
  • Pigmented spindle cell nevus of Reed
  • Recurrent nevus
  • Spitz nevus

  • Mucin
  • Digital mucous cyst
  • Focal cutaneous mucinosis
  • Follicular mucinosis
  • Lichen myxedematosus
  • Lupus tumidus
  • Neurothekeoma
  • Nodular fasciitis
  • Pretibial myxedema
  • Scleromyxedema

  • Mucin and glands or ducts
  • Chondroid syringoma
  • Mucinous carcinoma
  • Mucocele

  • “Normal” skin on low power
  • Argyria
  • Dermatophytosis/tinea versicolor*
  • Ichthyosis vulgaris
  • Macular amyloidosis* (not pictured)
  • Scleredema
  • Urticaria
  • Vitiligo (not pictured)
  • *when subtle

  • Palisading reactions
  • Gout
  • Granuloma annulare
  • Necrobiosis lipoidica
  • Necrobiotic xanthogranuloma
  • Rheumatoid nodule

  • Papillary dermal infiltrate see Band-like dermal/papillary dermal infiltrate

  • Papillated dermal tumor
  • Aggressive digital papillary adenocarcinoma
  • Erosive adenomatosis of the nipple (nipple adenoma)
  • Hidradenoma papilliferum
  • Papillary eccrine adenoma
  • Syringocystadenoma papilliferum
  • Tubular apocrine adenoma

  • Papulosquamous (psoriasiform) change
  • Chronic spongiotic dermatitis
  • Lichen simplex chronicus
  • Pityriasis rubra pilaris
  • Psoriasis
  • Secondary syphilis

  • Parakeratosis
  • Psoriasis
  • Spongiotic dermatitis
  • see also Hyperkeratosis/parakeratosis

  • Perivascular infiltrate
  • Granuloma annulare
  • Gyrate erythema
  • Leukocytoclastic vasculitis
  • Perniosis
  • Pigmented purpuric dermatosis
  • Pityriasis rosea
  • Polymorphous light eruption

  • Pink ball of spindle cells
  • Angioleiomyoma
  • Myofibroma
  • Scar, hypertrophic
  • Schwannoma

  • Pink dermis
  • Lichen sclerosus
  • Morphea
  • Radiation dermatitis

  • Pink material
  • Amyloid
  • Cryoglobulinemia (type I)
  • Erythema elevatum diutinum
  • Erythropoietic protoporphyria
  • Gout
  • Lichen sclerosus
  • Lipoid proteinosis
  • Pilomatricoma
  • Proliferating pilar tumor
  • Radiation dermatitis
  • Rheumatoid nodule
  • Sclerotic fibroma

  • Polypoid shape (dome-shaped)
  • Accessory digit
  • Accessory nipple
  • Accessory tragus
  • Digital fibrokeratoma
  • Fibrous papule
  • Intradermal nevus
  • Neurofibroma
  • Pyogenic granuloma

  • Proliferation downward from epidermis see Lobular proliferation

  • Pseudoepitheliomatous hyperplasia above abscesses
  • Blastomycosis
  • Chromomycosis
  • Coccidioidomycosis

  • Psoriasiform change see Papulosquamous

  • Regular epidermal acanthosis see Acanthosis, regular epidermal

  • Reticulated epidermal proliferation
  • Fibroepithelioma of Pinkus
  • Fibrofolliculoma
  • Nevus sebaceus of Jadassohn
  • Seborrheic keratosis, reticulated
  • Syringofibroadenoma
  • Tumor of the follicular infundibulum

  • Space with a lining
  • Apocrine hidrocystoma
  • Auricular pseudocyst
  • Branchial cleft cyst
  • Bronchogenic cyst
  • Cutaneous ciliated cyst
  • Cutaneous endometriosis
  • Dermoid cyst
  • Epidermal inclusion cyst
  • Glomangioma
  • Pilar cyst
  • Steatocystoma
  • Venous lake

  • Spindle cells
  • Angioleiomyoma
  • Atypical fibroxanthoma
  • Blue nevus, cellular
  • Dermatofibroma
  • Dermatofibrosarcoma protuberans
  • Fibrous papule
  • Infantile digital fibromatosis
  • Kaposi sarcoma
  • Leiomyoma
  • Melanoma, desmoplastic
  • Neurofibroma
  • Neurothekeoma
  • Nodular fasciitis
  • Palisaded encapsulated neuroma
  • Scar
  • Schwannoma
  • Squamous cell carcinoma
  • see also Pink ball of spindle cells

  • Spongiosis
  • Allergic contact dermatitis
  • Arthropod bite reaction
  • Guttate psoriasis
  • Lichen simplex chronicus
  • Pityriasis rosea
  • Psoriasis

  • Square/rectangular shape
  • Lichen myxedematosus
  • Morphea
  • Necrobiosis lipoidica
  • Normal back skin
  • Radiation dermatitis
  • Scleredema
  • Scleromyxedema

  • Subcutaneous inflammation
  • Erythema induratum
  • Erythema nodosum
  • Lupus profundus
  • Polyarteritis nodosa
  • Post-steroid panniculitis
  • Subcutaneous fat necrosis of newborn
  • Subcutaneous T-cell lymphoma

  • Subepidermal space/cleft
  • Angiokeratoma
  • Bullous pemphigoid
  • Dermatitis herpetiformis
  • Erythema multiforme
  • Herpes gestationis
  • Lymphangioma
  • Pemphigoid gestationis
  • Polymorphous light eruption
  • Porphyria cutanea tarda
  • Sweet syndrome

  • Upper epidermal change
  • Bowen disease
  • Clonal seborrheic keratosis
  • Epidermodysplasia verruciformis
  • Epidermolytic hyperkeratosis
  • Myrmecium
  • Orf
  • Paget disease
  • Verruca plana
  • Verruca vulgaris

  • Vacuolar interface change see Interface (vacuolar) change

  • Vessels, suggestion of see Endothelial cells