Research Article

Ashy Dermatosis and Lichen Planus Pigmentosus: The Histopathological Differences

Table 3

Histopathological differences between AD (n = 29) and LPP (n = 71).

Histological featuresAD, n (%)LPP, n (%) value

Epidermal atrophy7 (24.1)13 (18.3)0.51
Epidermal hypergranulosis0 (0)25 (35.2)<0.001
Epidermal hyperkeratosis0 (0)24 (33.8)<0.001
Apoptotic keratinocytes16 (55.2)47 (66.2)0.30
Basal vacuolization27 (96.4)55 (77.5)0.02
  (i) Focal27 (100)51 (92.7)
 (ii) Diffuse0 (0)4 (7.3)
Lichenoid dermatitis2 (7.1)35 (49.3)<0.001
  (i) Focal2 (100)31 (88.6)
 (ii) Diffuse0 (0)4 (11.4)
Superficial perivascular lymphocytic infiltration29 (100)68 (95.8)0.55
  (i)  Mild26 (92.9)45 (67.2)0.04
 (ii)  Moderate2 (7.1)19 (28.4)
 (iii) Severe0 (0)3 (4.5)
Deep perivascular lymphocytic infiltration0 (0)5 (7.0)0.32
Perifollicular infiltration3 (10.3)34 (47.9)<0.001
Perifollicular fibrosis3 (10.3)25 (35.2)0.01
Perieccrine infiltration0 (0)6 (8.5)0.18
Pigmentary incontinence0.015
  (i)   Mild3 (10.3)1 (1.4)
 (ii)  Moderate25 (86.2)55 (77.5)  
 (iii) Severe1 (3.5)15 (21.1)