Table 3.
Correlation between histopathological and dermoscopic findings in the various vesiculobullous disorders
| Dermoscopic patterns | Histopathological correlation |
|---|---|
| Yellowish translucent area | Serum |
| White globules | Spongiotic microvesicles within epidermis |
| Pink area | Dilated and tortuous blood vessels |
| Orange-yellow globules | Serum and red blood cells within blister cavity |
| Grayish area | Necrotic pigmented epithelium over regenerating non-pigmented epithelium |
| Brown amorphous area | Dried serum, necrotic keratinocytes, and melanin |
| Perilesional brown zone | Post-inflammatory pigment and hemosiderin at periphery |
| White lines | Ballooning degeneration of cells and water retention |
| Brown dots | Necrotic, ballooned, and degenerated cells with melanin retention |
| Scales | Hyperkeratosis |
| Blue-gray globules | Dermal melanin |
| White shiny rosettes | Narrowing of acrosyringeal infundibula or blockage by keratin |
| Wickham striae | Compact orthokeratosis and dermal fibrosis |
| Irregular white network | Spongiosis, papillodermal edema |
| White linear folds | Overlap of superficial epithelium due to flaccidity |