Inflammatory Skin Disorders · Pathology

Lichen Simplex Chronicus is histologically characterized by which of the following?

  1. Basal cell liquefactive degeneration
  2. Vertical collagen streaks and hypergranulosis
  3. Subepidermal cleft with inflammatory infiltrate
  4. Coagulative full-thickness epidermal necrosis
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Correct answer: Vertical collagen streaks and hypergranulosis

Lichen simplex chronicus results from chronic rubbing or scratching. The repetitive trauma leads to epidermal hyperplasia (acanthosis), a thickened granular layer (hypergranulosis), and vertical orientation of dermal collagen fibers.

Difficulty: Medium Question 11 of 20

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