Table 1.
Score | Histopathology (changes observed) | Tissue viability |
---|---|---|
0 (plus signs stated below) | - Acute ischaemic degeneration of epidermal cells (necrosis) - Severe extent of all epidermal and dermal changes described below |
Tissue is not viable |
1 Marked (plus signs stated below) | - Multifocal subepidermal clefting - Basal cell vacuolisation (epidermal degeneration) - Nuclear pyknosis and detachment of eccrine glands, leukocytes and epidermal cells showing signs of autolysis - Multifocal pyknosis of basal cells with degenerating neutrophils |
Tissue is viable |
1.5 Moderate to marked (plus signs stated below) | - Apoptotic keratinocytes - Vacuolation of basal cells - Supepidermal clefting - Eccrine glands and peripheral nerves show signs of autolysis, as do some follicular epithelial cells (detached) |
Tissue is viable |
2 Moderate (plus signs stated below) | - Prominent pyknotic nuclei in stratum spinosum - Some subasilar clefting around follicles - Few sloughed epithelial cells in glands |
Tissue is viable |
2.5 Mild to moderate (plus signs stated below) | - Scattered apoptotic keratinocytes | Tissue is viable |
3 Mild | - Normal tissue architecture and viability and occasionally few sloughed epithelial cells within eccrine glands | Tissue is viable |