Study of clinical and histopathological findings of interface dermatitis and its correlation

Authors

DOI:

https://doi.org/10.15587/2519-4798.2022.258496

Keywords:

interface dermatitis, lichen planus, dermoepidermal junction, dermatosis, hydropic degeneration, basal cell, basement membrane thickening, lichen amyloidosis, drug induced lichenoid reaction, patchy inflammatory infiltrate

Abstract

Interface dermatitis is a broad term used for all the lesions having clinical features and histological features of epidermal basal cell damage and extensive mononuclear cell infiltration in the papillary dermis, all these lesions are also known as lichenoid dermatosis or “Lichenoid tissue reaction” (LTR).

The aim of the study was to study in detail histopathological findings associated with interface dermatitis.

Materials and methods: a total of 112 cases were studied. Material for this study included patients who were clinically diagnosed as having interface Dermatitis from the Department of Dermatology, Gandhi Medical College, Secunderabad, during the period from 2009-2011.

Results: clinical diagnosis of the 112 cases diagnosed as interface dermatitis in the present study were as follows: The maximum number of cases 44 (39.29 %) were those of Lichen Planus, followed by discoid lupus erythematosus 10 (8.93 %), vitiligo 10 (8.93 %), lichen planus pigmentosus 9 (8.04 %), erythema multiforme 9 (8.04 %), subacute lupus erythematosus 6 (5.36 %), fixed drug eruption 6 (5.36 %), lichen sclerosis et atrophicus 6 (5.36 %), hypertropic lichen planus 6 (5.36 %) and 1 case of linear lichen planus, lichen plano pilaris, lichen nitidus, bullous lichen planus, atrophic lichen planus, lichen amyloidosis, and drug induced lichenoid reaction.

Conclusion: the interface dermatitis encompasses disease in which there is epidermal basal cell damage, apoptosis of the cell with formation of colloid & civatte bodies, hydropic degeneration of the basal cell, basement membrane thickening, band like or patchy inflammatory infiltrate hugging the dermoepidermal junction and melanin incontinence

Author Biographies

Manda Neelima, Gandhi Medical College

Assistant Professor

Department of Pathology

Anitha Sunkara, Gandhi Medical College

Assistant Professor

Department of Pathology

Saritha Karre, Gandhi Medical College

Assistant Professor

Department of Pathology

Maluthu Devojee, Gandhi Medical College

Professor

Department of Pathology

Dharavath Kavitha, Gandhi Medical College

Assistant Professor

Department of Pathology

References

  1. Eady, R. A., Leigh, I. M., Pope, F. M.; Champion, R. H., Buston, J. C., Burns, D. A., Breathnach, S. M. (Eds.) (1996). Anatomy and organization of human skin. Rook, Wilkison, Ebling text book of dermatology. Lodon: Blackwell Science, 37–111.
  2. Bruclencer-Tuderman, L. (2001). Dermal-epidermal adhesion. Cell Adhesion & Migration. Skin Disease. Amsterdam: Harwood, 133–163. doi: http://doi.org/10.1201/9781482284126-16
  3. Alsaad, K. O., Ghazarian, D. (2000). My approach to superficial inflammatory dermatoses. Journal of Clinical Pathology, 58, 1233–1241. doi: http://doi.org/10.1136/jcp.2005.027151
  4. Nooshin, K. B. (2008). Dermatopathology for the surgical pathologist: a pattern based approach to the diagnosis of inflammatory skin disorders (part I). AAdvances in Anatomic Pathology, 15 (2), 76–96. doi: http://doi.org/10.1097/pap.0b013e3181664e8d
  5. Tompkins, J. K. (1995). Lichen Planus; A statistical study of forty-one cases. A.M.A. Archives of Dermatology, 71 (4), 515–519. doi: http://doi.org/10.1001/archderm.1955.01540280091022
  6. Boyd, A. S., Neldner, K. H. (1991). Lichen planus. Journal of the American Academy of Dermatology, 25 (4), 593–619. doi: http://doi.org/10.1016/0190-9622(91)70241-s
  7. Varma, K., Kumar, U., Kumar, V. (2020). Clinical pattern of papulosquamous dermatoses: an observational study conducted at tertiary care center, Ujjain, Madhya Pradesh, India. International Journal of Research in Dermatology, 6 (2), 230. doi: http://doi.org/10.18203/issn.2455-4529.intjresdermatol20200602
  8. Kiran, C., Manjunath, G, Sonakshi, S., Sheena, S., Bhanuprakash, B. (2015). Extragenital lichen sclerosus et atrophicus masquerading as discoid lupus erythematosus. Journal of Evidence Based Medicine and Healthcare, 2 (25), 3773–3778. doi: http://doi.org/10.18410/jebmh/2015/540
  9. Kanwar, A. J., Dogra, S., Handa, S., Parsad, D., Radotra, B. D. (2003). A study of 124 Indian patients with lichen planus pigmentosus. Clinical and Experimental Dermatology, 28 (5), 481–485. doi: http://doi.org/10.1046/j.1365-2230.2003.01367.x
  10. LeBoit, P. E. (1993). Interface Dermatitis. How Specific Are Its Histopathologic Features? Archives of Dermatology, 129 (10), 1324–1328. doi: http://doi.org/10.1001/archderm.1993.01680310094017
  11. Marfatia, Y., Surani, A., Baxi, R. (2019). Genital lichen sclerosus et atrophicus in females: An update. Indian journal of sexually transmitted diseases and AIDS, 40 (1), 6–12. doi: http://doi.org/10.4103/ijstd.ijstd_23_19
  12. Weedon, D. (2002). The Lichenoid Reaction Pattern Skin Pathology. Churchill Livingstone, 31–74.
  13. Fabbri, P., Cardinali, C., Giomi, B., Caproni, M. (2003). Cutaneous Lupus Erythematosus: diagnosis and management. American Journal of Clinical Dermatology, 4 (7), 449–465. doi: http://doi.org/10.2165/00128071-200304070-00002

Downloads

Published

2022-05-31

How to Cite

Neelima, M., Sunkara, A., Karre, S., Devojee, M., & Kavitha, D. (2022). Study of clinical and histopathological findings of interface dermatitis and its correlation. ScienceRise: Medical Science, (3(48), 34–38. https://doi.org/10.15587/2519-4798.2022.258496

Issue

Section

Medical Science