Skin Biopsy Interpretation · Pathology

Which histologic feature is most characteristic of psoriasis on skin biopsy?

  1. Hypergranulosis with saw-tooth rete ridges
  2. Acanthosis with elongation of rete ridges and parakeratosis
  3. Subepidermal blister with eosinophils
  4. Dense dermal granulomatous inflammation
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Correct answer: Acanthosis with elongation of rete ridges and parakeratosis

Psoriasis shows regular acanthosis with elongated rete ridges, thinning of suprapapillary plates, and parakeratosis. Neutrophils in the stratum corneum (Munro microabscesses) are also typical.

Difficulty: Medium Question 1 of 20

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