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Dr Richard Carr

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Psoriasis Early<br />

• Parakeratotic mounds<br />

• Loss of granular layer<br />

• Pallor & vacuolation upper epidermis<br />

• Migration of neutrophils from capillaries to stratum<br />

corneum (“squirting papilae”)<br />

• Lymphocytes is basal epidermis with spongiosis<br />

• Mitotically active basal zone<br />

• Mild soriasiform epidermal hyperplasia<br />

• Tortuous, dilated, congested papilary dermal<br />

capillaries<br />

• Oedema<br />

• Perivascular lymphocytes

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