This document summarizes the key features of an irritated seborrheic keratosis. It forms squamous eddies within the epidermis from spindled keratinocytes. Areas still produce loose "shredded-wheat" pattern keratin, and horn cysts of loose lamellar keratin are often present. In some areas, the keratin becomes compact, eosinophilic, and parakeratotic, with a zone of loose lamellar keratin above from before the lesion became irritated.
This document summarizes the key features of an irritated seborrheic keratosis. It forms squamous eddies within the epidermis from spindled keratinocytes. Areas still produce loose "shredded-wheat" pattern keratin, and horn cysts of loose lamellar keratin are often present. In some areas, the keratin becomes compact, eosinophilic, and parakeratotic, with a zone of loose lamellar keratin above from before the lesion became irritated.
This document summarizes the key features of an irritated seborrheic keratosis. It forms squamous eddies within the epidermis from spindled keratinocytes. Areas still produce loose "shredded-wheat" pattern keratin, and horn cysts of loose lamellar keratin are often present. In some areas, the keratin becomes compact, eosinophilic, and parakeratotic, with a zone of loose lamellar keratin above from before the lesion became irritated.
This document summarizes the key features of an irritated seborrheic keratosis. It forms squamous eddies within the epidermis from spindled keratinocytes. Areas still produce loose "shredded-wheat" pattern keratin, and horn cysts of loose lamellar keratin are often present. In some areas, the keratin becomes compact, eosinophilic, and parakeratotic, with a zone of loose lamellar keratin above from before the lesion became irritated.
Irritated seborrheic keratosis is characterized by
the formation of squamous eddies within the epidermis and the presence of spindled keratinocytes. Some areas of the tumor typically still produce a loose lamellar shredded-wheat pattern of keratin, and horn cysts composed of loose lamellar keratin are often present. In areas, the keratin becomes compact, eosinophilic, and parakeratotic. A zone of loose lamellar keratin may be seen above the dense eosinophilic keratin. This was produced before the lesion became irritated. It has since been pushed upward. a
b a
Figure 2-18 Irritated seborrheic keratosis with prominent
spindling of keratinocytes
Inflamed seborrheic keratosis
Key features Lymphocytes and spongiosis In areas, the stratum corneum becomes
compact, eosinophilic, and parakeratotic
Loose lamellar keratin is commonly retained in
other areas
Horn cysts are common
Lichenoid interface dermatitis may be present An overlying crust may be present b
c Figure 2-17 Irritated seborrheic keratosis with prominent squamous eddies
