S11C25P20-Virus Infections, misc.

S11C25P20-1: The epidermis shows hyperplasia of the basal and superficial units. The rete ridges are elongated and have pointed extremities. They show erosions along their interface with the dermis. The patterns at the dermal-epidermal interface have lichenoid (or pityriasic) qualities. There are dense, band-like infiltrates in the dermis. The superficial unit of the epidermis shows marked koilocytotic changes. The cytoplasmic changes are sufficiently developed to be characterized as cytopathic; the changes in some of the cells might be characterized as ballooning degeneration. There is compact hyperkeratosis  and parakeratosis (milker’s nodule).

S11C25P20-2: Blue arrows point to nuclear inclusions in different stages of development. Green arrows point to intra-cytoplasmic inclusions. Some of the keratinocytes show cytoplasmic pallor (early ballooning degeneration).

S11C25P20-3: Blue arrows point to intra-nuclear inclusions and green arrows point to cytoplasmic inclusions. To the right, many cells show a distinctive pattern in which globules have collected in the cytoplasm. These cytoplasmic changes are interpreted as representing poorly developed viral inclusions (milker’s nodule).

S11C25P20-4: This is an example of lesion of a herpes simplex viral infection. Cytopathic changes are prominent. Many of the cells have pale, or vacuolated, cytoplasm (ballooning degeneration). Near the top of the field, cells, forming a band, are condensed and show increased cytoplasmic acidophilia. They also show pyknosis of nuclei (dyskeratosis of virus-related type). Inflammatory cells among the keratinocytes show fragmentation of their nuclei. Nuclei of keratinocytes are pale and show marginated chromatin.

S11C25P20-5: Cytopathic changes in this lesion of herpes simplex virus infection are prominent. There is marked cytoplasmic pallor. Intra-cellular edema has progressed on the right side of the field to the formation of a lytic defect (cytolysis). Inflammatory cells, apparently neutrophils, show fragmentation of nuclei. Red arrows point to characteristic intra-nuclear inclusions. At the tip of the red arrow on the right, there is a dense, acidophilic condensation at the nuclear membrane that is interpreted as a nucleolus. Apparently, the nucleolus has been pushed aside by the inclusion.

 

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