Histology
Damage to basal epidermis
Acanthosis - saw tooth thickening of the skin
Hypergranulosis
Morphology
Papules Flat topped Can be purple/pink Shiny Wickham's striae - fine white network on top of papules
Clinical presentation
Intensely itchy Starts on the distal limbs Mucous membrane involvement Nail ridges Pallor bucal mucosa
Management
Self limiting Topical steroids (potent) - help with itch