Epidermal cell death |
No apoptosis |
1–5 apoptotic or necrotic bodies per 10 h.p.f. |
≥6 apoptotic or necrotic bodies per 10 h.p.f. |
Full thickness epidermal necrosis |
Spongiosis |
No spongiosis |
Focal |
Involving lower 1/2 of the epidermis |
Involving full thickness of the epidermis |
Epidermal nuclear enlargement (average size 50 nuclei) |
<10 μm |
10–12 μm |
12–15 μm |
>15 μm |
Adnexal damage |
Normal hair follicles |
1–5 apoptotic or necrotic bodies in pilo-sebaceous unit per 10 h.p.f. |
≥6 apoptotic or necrotic bodies in pilo-sebaceous unit per 10 h.p.f. |
Partial loss of hair follicles |
Dermal leukocytic infiltration |
No leukocytic infiltration |
Leukocytes covering <10% of the dermis |
Leukocytes covering 10–70% of the dermis |
Leukocytes covering >70% of the dermis |