Fibrillar pattern of a plantar acquired melanocytic naevus: correspondence between epiluminescence microscopy and transverse section histology

Authors: Palleschi, G. M.; Cipollini, E. M.; Torchia, D.; Torre, E.1; Urso, C.2

Source: Clinical & Experimental Dermatology, Volume 31, Number 3, May 2006 , pp. 449-451(3)

Publisher: Blackwell Publishing

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Abstract:

Summary

The main epiluminescence microscopy (ELM) patterns observed on volar acquired melanocytic naevi are the parallel-furrow, the lattice-like and the fibrillar patterns. Because of the peculiar arrangement and configuration of epidermal rete ridges in the glabrous skin, the traditional histological picture does not provide an exact correlation with ELM features. In particular, the fibrillar pattern lacks a histopathological correlate. To clarify the microscopic features of the fibrillar pattern, we used transverse histological sectioning to study an acquired compound melanocytic naevus of the sole, characterized by a mixed parallel-furrow/fibrillar pattern on ELM. Low-magnification images of transverse sections allowed us to highlight the typical anatomical arrangement of the volar skin clearly, while high-magnification images demonstrated that the fibrillar pattern corresponded to parallel striae of intensely pigmented corneocytes arranged obliquely to the cutaneous surface.

Document Type: Research article

DOI: 10.1111/j.1365-2230.2006.02060.x

Affiliations: 1: Department of Pathology and Experimental Oncology, University of Florence, Italy 2: Dermatopathology Section, Santa Maria Annunziata Hospital, Florence, Italy

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