INTRAEPIDERMAL VESICULAR AND PUSTULAR DERMAITIS

BALLOONING

Distinctive cytologic fetures Steel-gray, margination of chromatin Herpes virus infections
Basophilic cytoplasmic inclusions Orf/miker's nodule
Esosinophilic cytoplasmic inclusions Vaccinia/variola
No distinctive cytologic features Ballooning in upper epidermis Pellagra/
Necrolytic migratory erythema/
Acrodermatitis enteropathica/
Hartnup's disease/
Deficiencyt disease(zinc, biotin)
Pachyonychia congenita
Immersion blister
Ballooning in midepidermis No interface changes on volar skin or mucous membrane Hand-foot-and-mouse disease
No interface changes, confluent necrosis of keratinocytes, normal cornifeed layer, lymphocytes and neutrophils Irritant contact dermatitis
No interface changes, individual necrotic keratinocytes, normal cornified layer, lymphocytes and neutrophils Phototoxic dermatitis
Interface changes, individual necrotic keratinocytes, normal cornifed layer Erythema multiforme
Interface changes, individual necrotic keratinocytes, parakeratosis PLEVA
Interface changes, individual necrotic keratinocytes, normal cornifed layer, lymphocytes, neutrophils, and eosinophils Fixed drug eruption, early