Inflammatory Skin Disorders · Pathology

Which of the following describes 'Spongiosis' in the context of acute eczematous dermatitis?

  1. Abnormal keratinization of the stratum corneum
  2. Intercellular edema of the epidermis separating keratinocytes
  3. Premature keratinization of cells below the stratum granulosum
  4. Loss of intercellular attachments (desmosomes)
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Correct answer: Intercellular edema of the epidermis separating keratinocytes

Spongiosis is the defining feature of eczematous (dermatitic) reactions. Edema fluid collects between epidermal cells, stretching the desmosomes and giving the epidermis a sponge-like appearance.

Difficulty: Medium Question 4 of 20

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