Case Report

Prurigo Pigmentosa: A Clinicopathological Report of Three Middle Eastern Patients

Table 2

The main histologic findings in 3 Jordanian patients with prurigo pigmentosa.

Lesion biopsiedPatient 1Patient 2Patient 3
Papulovesicular neck lesionErythematous papule on the backErythematous urticated plaque on the neck

Epidermal changes
Orthokeratosis+++
Parakeratosis
Scale crust+
Epidermal hyperplasia+++
Keratinocyte necrosis+++
Spongiosis+++
Vesiculation
Neutrophilic exocytosis+
Basal cell vacuolization+++
Secondary impetiginization

Dermal changes
Perivascular lymphocyte infiltrate+++
Perivascular polymorphonuclear infiltrate+++
Papillary dermal oedema+++
Pigment incontinence