Eosinophilic inflammation |
Based on peak eosinophil count |
Basal zone hyperplasia |
Basal zone occupies more than 15% of total epithelial thickness |
Eosinophil abscess |
Eosinophil aggregate that disrupts the underlying epithelial architecture |
Eosinophil surface layering |
Eosinophils align in one or more rows in the upper third of the epithelium |
Dilated intercellular spaces |
Intercellular bridges are visible in paracellular spaces |
Surface epithelial alteration |
Surface epithelial cells stain more darkly than normal and eosinophils that may be present among the altered epithelial cells |
Dyskeratotic epithelial cells |
Epithelial cells with deeply staining cytoplasm and shrunken hyperchromatic nuclei that generally occur singly and may be found anywhere in the epithelium |
Lamina propria fibrosis |
Coalesced fibrils form fibers of varying diameter |