{"id":16639,"date":"2020-04-29T02:50:08","date_gmt":"2020-04-29T05:50:08","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/patologia-del-liquen-escleroso\/"},"modified":"2020-05-03T15:38:39","modified_gmt":"2020-05-03T18:38:39","slug":"lichen-sclerosus-pathology","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-liquen-escleroso\/","title":{"rendered":"Lichen sclerosus pathology"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-liquen-escleroso\/#Histologia-de-liquen-escleroso\" >Lichen sclerosus histology<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-liquen-escleroso\/#Patologia-del-liquen-escleroso\" >Lichen sclerosus pathology<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-liquen-escleroso\/#Diagnostico-diferencial-de-liquen-escleroso-patologia\" >Differential diagnosis of lichen sclerosus disease<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-liquen-escleroso\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histology<\/span> lichen sclerosus<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The scanning power of lichen sclerosus reveals a <span class=\"term\" data-term-id=\"168\">lichenoid<\/span> <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> pattern in early stage lesions or superficial sclerosing process in late stage lesions (Figures 1 and 2). the <span class=\"term\" data-term-id=\"85\">epidermis<\/span> shows <span class=\"term\" data-term-id=\"610\">hyperkeratosis<\/span>, significant weight loss with loss of normal <span class=\"term\" data-term-id=\"819\">challenge<\/span> crest and plugging pattern <span class=\"term\" data-term-id=\"107\">follicular<\/span> infundibulae (Figure 3). A <span class=\"term\" data-term-id=\"809\">atrophic<\/span> the epidermis is not a requirement since some cases particularly in <span class=\"term\" data-term-id=\"1004\">vulva<\/span> can show significant <span class=\"term\" data-term-id=\"846\">epidermal<\/span> <span class=\"term\" data-term-id=\"136\">hyperplasia<\/span>. <span class=\"term\" data-term-id=\"294\">Vacuolar<\/span> degeneration of the <span class=\"term\" data-term-id=\"20\"><span class=\"term\" data-term-id=\"831\">basal<\/span> cap<\/span> It can be seen, although typically mild, especially in late stage injuries. <span class=\"term\" data-term-id=\"1834\">Cleft<\/span> may be evident between the epidermis and <span class=\"term\" data-term-id=\"61\">dermis<\/span> as a result of this degeneration of the basal layer and the underlying <span class=\"term\" data-term-id=\"52\">dermal<\/span> Changes The dominant feature is the wide condensation of the dermis. <span class=\"term\" data-term-id=\"39\">collagen<\/span>. These changes are typically superficial, whereas in early lesions they may show marked overlying papillary dermal <span class=\"term\" data-term-id=\"201\">edema<\/span>. When it extends into the deep dermis, discrimination of <span class=\"term\" data-term-id=\"978\">scleroderma<\/span> It can become difficult. The inflammatory <span class=\"term\" data-term-id=\"541\">infiltrate<\/span> evolves from a dense lichenoid <span class=\"term\" data-term-id=\"422\">lymphocytic<\/span> infiltrate a shallow scarce <span class=\"term\" data-term-id=\"750\">interstitial<\/span> infiltrate the late stage of the disease. Scattered <span class=\"term\" data-term-id=\"1513\">plasma<\/span> cells, <span class=\"term\" data-term-id=\"858\">histiocytes<\/span> and <span class=\"term\" data-term-id=\"582\">mast cells<\/span> can be seen (Figure 4).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-del-liquen-escleroso\"><\/span>Lichen sclerosus pathology<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichensclerosusfigure1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildq5xq-3713287-6271591' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichensclerosusfigure1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDQ5XQ-3713287.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichensclerosusfigure2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2906569-4001904' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichensclerosusfigure2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2906569.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichensclerosusfigure3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2765949-7039250' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichensclerosusfigure3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2765949.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichensclerosusfigure4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3422724-9226997' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichensclerosusfigure4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3422724.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 4<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-liquen-escleroso-patologia\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Differential diagnosis<\/span> lichen sclerosus <span class=\"term\" data-term-id=\"223\">pathology<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Scleroderma: In this condition, the overlying epidermis and superficial dermis are preserved. Inflammatory infiltrate is typically sparse and deep <span class=\"term\" data-term-id=\"1827\">attached<\/span> and <span class=\"term\" data-term-id=\"753\">vascular<\/span> Structures Overlap can occur where deep and superficial changes coexist.<\/p>\n<p>Lichen planus: the presence of a well-formed <span class=\"term\" data-term-id=\"111\">granular layer<\/span> and numerous cytoid bodies, and a lack of thickening of the basement or epidermal membrane <span class=\"term\" data-term-id=\"18\">atrophy<\/span> favor lichen planus over lichen sclerosus.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Histolog\u00eda de liquen escleroso El poder de escaneo del liquen escleroso revela un liquenoide inflamatorio patr\u00f3n en lesiones en etapa temprana o un proceso esclerosante superficial en lesiones en etapa&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[205],"class_list":["post-16639","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16639","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=16639"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16639\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=16639"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=16639"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=16639"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}