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Hyperkeratinization (American English or hyperkeratinisation in British) is a disorder of the cells lining the inside of a hair follicle. It is the normal function of these cells to detach or slough off from the skin lining at normal intervals. The dead cells are then forced out of the follicle (primarily by the growing hair).
Hyperkeratosis is thickening of the stratum corneum (the outermost layer of the epidermis, or skin), often associated with the presence of an abnormal quantity of keratin, [1] and is usually accompanied by an increase in the granular layer.
Diagnosis is mainly clinical, based on the history and clinical appearance. The differential diagnosis includes other oral white lesions such as Leukoplakia, squamous cell carcinoma, oral candidiasis, lichen planus, white sponge nevus and contact stomatitis. [7] In contrast to pseudomembraneous candidiasis, this white patch cannot be wiped off. [7]
Clear cell acanthoma (acanthome cellules claires of Degos and Civatte, Degos acanthoma, pale cell acanthoma) Clear cell squamous cell carcinoma (clear cell carcinoma of the skin) Chronic scar keratosis (chronic cicatrix keratosis) Clonal seborrheic keratosis; Common seborrheic keratosis (basal cell papilloma, solid seborrheic keratosis)
Keratinized squamous epithelium is present in the gingiva and hard palate as well as areas of the dorsal surface of the tongue. [8] [9] Keratinization is the differentiation of keratinocytes in the stratum granulosum into nonvital surface cells or squames to form
Scale forms on the skin surface in various disease settings, and is the result of abnormal desquamation. In pathologic desquamation, such as that seen in X-linked ichthyosis, the stratum corneum becomes thicker (hyperkeratosis), imparting a "dry" or scaly appearance to the skin, and instead of detaching as single cells, corneocytes are shed in clusters, which forms visible scales. [2]
Non-keratinized squamous epithelium, including cornea and transitional epithelium [6] Cytokeratin 7: A subgroup of glandular epithelia and their tumors [6] Transitional epithelium and transitional carcinoma [6] Cytokeratin 8: Glandular epithelia of the digestive, respiratory and urogenital tracts, both endocrine and exocrine cells, as well as ...
ThinPrep pap smear with group of normal cervical cells on left and HPV-infected cells showing features typical of koilocytes: enlarged (x2 or x3) nuclei and hyperchromasia. A koilocyte is a squamous epithelial cell that has undergone a number of structural changes, which occur as a result of infection of the cell by human papillomavirus (HPV). [1]