Viva Questions in Oral Pathology

A single stop for all basic viva questions that you might encounter in your oral Pathology and
microbiology paper in your Dental undergraduate course. If you have questions to suggest/add, kindly
mail it to me at oralpathology.viva@gmail.com. You will be acknowledged. Every effort is made to ensure
the accuracy of the answers. Kindly use textbooks to confirm. Circulate the links widely..

Sunday, 14 July 2013

Radiological features

Lesion/ Condition

Radiological appearance

Acute osteomyelitis

Moth eaten radiolucency

Aneurysmal bone cyst

Honeycomb or soap bubble appearance

Apert’s syndrome

Skull radiograph“ Beaten metal” pattern

Calcifying epithelial odontogenic tumor

Driven snow appearance

Cemento-osseous dysplasia

Cotton wool radiopacities

Central Hemangioma

Honey combed or sunburst or cotton wool appearance

Cherubism

Ground glass appearance; Floating teeth syndrome

Chronic diffuse sclerosing osteomyelitis

Cotton wool appearance/ Mosaic paatern

Coronal dentin dysplasia

Thistle tube appearance

Crouzon syndrome

Skull radiograph“ Beaten metal” pattern

Dentinogenesis imperfecta – 2

Shell teeth

Ewing’ s sarcoma

Onion skin appearance; sunray appearance rarely

Fibrous dysplasia

Ground glass appearance; Rind sign

Garre’s osteomyelitis

Onion peel appearance

Gaucher's disease

Erlenmeyer flask deformity of distal femur

Gigantiform cementoma

Cotton wool radio-opacities

Globulomaxillary cyst

Pear shaped radiolucency between maxillary lateral incisor and canine

Gradner syndrome

Cotton wool radio-opacities

Hemangioma

Hair on end or crew cut appearance

Hyperparathyroidism

Partial loss of lamina dura; Ground glass appearance of bone

Hypophosphatasemia

Metaphyses of long bone show spotty or streaky or irregular ossifications

Meningioma

Hair on end or crew cut appearance

Multiple myeloma

Punched out areas of radiolucency;

Nasopalatine duct cyst

Heart shaped radiolucency between roots of maxillary central incisors

Odontogenic myxoma

Honey comb / Mottled appearance

Osteomalacia

Looser’s zone pseudofracture line

Osteopetrosis

Vertebrae- Rugger-Jersey pattern; Ribs - Endo bone (Bone with in bone )pattern; roots are not easily
distinguishable from adjacent bone

Osteosarcoma

Intramedullary parts appears as cumulus cloud densities; sunray/ sun burst pattern; widening of
periodontal ligament; Codman’s triangle (periosteum raised like tent)

Paget's disease

osteoporosis circumscripta; Cotton wool appearance; hypercementosis; loss of lamina dura

Plasmacytoma

Hair on end or crew cut appearance

Primary Intraosseous Carcinoma

Moth eaten radiolucency

Pseudohypoparathyroidism
Chevron pulp

Psoriatic arthritis

Pencil cup appearance; opera glass deformity in joints

Regional odontodysplasia

Ghost teeth

Rickets

Muller’s line (Widened space @ the site of zone of preparatory calcification)

Rachitic rosary- costochondral prominence

Scleroderma

Widening of lamina dura; bone resorption at angle, condyle or coronoid area

Scurvy & Chronic Vitamin C deficiency

Increased density @ end of long bones as white lines- “line of Frenkel”;

Signet ring appearance of epiphyses;

Zone of rarefaction around white lines- represents “Trummerfield zone”

Sclerotic ring around epiphyses – “Winberger’ line”

Metaphyseal corner fracture- “Pelkan spur”

Severe iron deficiency in child hood

Hair on end or crew cut appearance

Sialdenosis (sialography)

Leafless tree

Sickle cell anemia

Hair on end or crew cut appearance

Sjogren’s syndrome (Sialography)

Branchless fruit laden tree or cherry blossom appearance

Synovial sarcoma
Spotty calcification; snow storm appearance

Synovial sarcoma

Snow storm appearance

Thalassemia

Rib with in a rib appearance of rib; Hair on end or crew cut appearance; salt and pepper effect; Thin
lamina dura

Rooban Thavarajah at 04:30 2 comments:

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Wednesday, 10 July 2013

Signs&symptoms-1

Asboe-Hansen sign (also known as "indirect Nikolsky sign" or "Nikolsky II sign") refers to the extension of
a blister to adjacent unblistered skin when pressure is put on the top of the bulla.

Acroosteolysis is resorption of the distal bony phalanges. Acroosteolysis has two patterns of resorption in
adults: diffuse and band like.A diffuse pattern of resorption has a wide differential diagnosis and can
include the following: pyknodysostosis, collagen vascular disease and vasculitis, Raynaud's neuropathy,
trauma, epidermolysis bullosa, psoriasis, frostbite, sarcoidosis, hypertrophic osteoarthropathy. A band
like pattern of resorption may be seen with polyvinyl chloride exposure and Hadju-Cheney syndrome. A
mnemonic commonly used for acro-osteolysis is PINCHFO - Pyknodysostosis, Psoriasis, Injury (thermal
burn, frostbite), Neuropathy (diabetes), Collagen vascular disease (scleroderma, Raynaud's),
Hyperparathyroidism, Familial (Hadju-Cheney, progeria), Occupational (polyvinyl exposure).

Apple jelly nodules in nasal septum: It is the nodular form of the tuberculosis in nasal mucosa. It begins
in the vestibule and extends to adjoining skin and mucosa. It is the result of direct inoculation. It
presents as glistening reddish brown or skin colored nodules also known as ‘apple jelly nodules’. An
attempt to blench them with a glass slide [Diascopy] makes them more prominent, as they tend to stand
out amidst blenched surrounding. These nodules may coalesce to form characteristic ulcer with a pale
granular base and undermined margins. Untreated patients tend to progress to scarring and resultant
disfigurement of the external nose.

Arnold head: In Cleidocranial dysplasia, the fontanelles may remain open until adulthood, but the
sutures often close with interposition of wormian bones. Bosses of the frontal, parietal, and occipital
regions give the skull a large globular shape with small face. The characteristic skull abnormalities are
sometimes referred to as the "Arnold head" named after the descendants of a Chinese who settled in
South Africa and changed his name to Arnold.
Ash-leaf spots: Hypomelanic macules in Tuberous sclerosis. They are white or lighter patches of skin that
may appear anywhere on the body and are caused by a lack of melanin. These are usually the only
visible sign of diseases at birth. In fair-skinned individuals a Wood's lamp (ultraviolet light) may be
required to see them.

Auspitz's sign is the appearance of punctate bleeding spots when psoriasis scales are scraped off, named
after Heinrich Auspitz.This happens because there is thinning of the epidermal layer overlying the tips of
the dermal papillae and blood vessels within the papillae are dilated and tortuous, which bleed readily
when the scale is removed.

Borsari's sign or Borsari's line : Dermatological sign that consists of pressure by a sharp object (such as a
fingernail) producing a white line on the skin that quickly turns red. It is present in scarlet fever.

Braverman's sign is a dermatological sign that consists of fine telangiectasias around the nail
(periungually). They may be associated with connective tissue diseases.

Buffalo hump: Cushing’s syndrome, the fat relocalization in nape of the neck resembling the buffalo’s
hump

Bull neck: Diphtheria, The bacterial exotoxin may also cause severe swelling in the neck, that resembles
the bull’s hump

Button-hole sign: Neurofibromatosis. invagination of a nodule when pressed with a finger, a

characteristic of neurofibromatosis

Carpet tack lesions: Discoid lupus erythematosus. There are follicular hyperkeratotic plugs causing a
carpet tack appearance as they project from the undersurface of the scale when it is removed from
advanced lesions. The dyspigmentation of older lesions often presents as central hypopigmentation and
peripheral hyperpigmentation.

Cerebriform tongue: Pemphigus vegetans. Also known as Furrowed /Grooved/ Lingua Fissurata/Lingua
Plicata/Lingua Scrotalis/Plicated Tongue/Scrotal Tongue

Charcot’s triad: Seen in multiple sclerosis, characterized by intention tremor, nystagmus, dysarthria

Chipmunk facies: Thalassemia. The bones of the head and face become enlarged and deformed causing
an abnormal appearance resulting in a typical “chipmunk facies” appearance. This occurs because the
bone marrow, the site of red blood cell production, becomes hyperactive [enlarged] in an attempt to
produce sufficient red cells to overcome the effects of the profound anaemia.

Chovstek’s sign: The Chvostek sign is one of the signs of tetany seen in hypocalcemia. It refers to an
abnormal reaction to the stimulation of the facial nerve. When the facial nerve is tapped at the angle of
the jaw (i.e. masseter muscle), the facial muscles on the same side of the face will contract momentarily
(typically a twitch of the nose or lips) because of hypocalcemia (i.e. from hypoparathyroidism,
pseudohypoparathyroidism, hypovitaminosis D) with resultant hyperexcitability of nerves. Though
classically described in hypocalcemia, this sign may also be encountered in respiratory alkalosis, such as
that seen in hyperventilation, which actually causes decreased serum Ca2+ with a normal calcium level
due to a shift of Ca2+ from the blood to albumin which has become more negative in the alkalotic state.

Compy's sign: Measles. White patches due to degenerated squamous epithelium occurring on buccal
mucosa and gingival.

Cobble stone appearance: Lymphangioma, Inflammatory papillary hyperplasia, Heck’s disease

Crowe’s sign: Neurofibromatosis. Presence of axillary (armpit) freckling in people with neurofibromatosis
type I

Dennie–Morgan fold: also known as a Dennie–Morgan line or an infraorbital fold, is a fold or line in the
skin below the lower eyelid caused by edema in atopic dermatitis. The presence of Dennie–Morgan folds
is used as a diagnostic marker for allergy

Forschemmier sign: Rubella. Forchheimer spots are a fleeting enanthem seen as small, red spots
(petechiae) on the soft palate in 20% of patients with rubella. They precede or accompany the skin rash
of rubella. They are not diagnostic of rubella, as similar spots can be seen in measles and scarlet fever.
The sign is named after Frederick Forchheimer

Fournier’s molars: congenital syphilis, when screw driver shaped.

Gorlin sign: Ehler -Danlos Syndrome. Ability to touch the tip of the nose with tongue and touch the
elbow with the tongue

Grattage sign: Psoriasis. Gentle scraping of the surface of a psoriasis plaque with a glass slide will remove
the loosely attached scales and reveal a shiny surface peppered with fine bleeding points. These
bleeding points represent the dilated and tortuous capillary blood vessels in the papillary dermis, one of
the characteristic pathological events taking place in psoriasis affected skin. This sign is known as Auspitz
sign, which is a diagnostic sign of psoriasis.

Hamman’s crunch: Cervicofacial emphysema. Hamman's sign (AKA Hammond's sign or Hammond's
crunch) is a crunching, rasping sound, synchronous with the heartbeat, heard over the precordium in
spontaneous mediastinal emphysema produced by the heart beating against air-filled tissues.It is named
after Johns Hopkins clinician Louis Hamman. This sound is heard best over the left lateral position. It has
been described as a series of precordial crackles that correlate with the heart beat and not the
respirations. Also heard together with spontaneous pneumothorax; small and not a total lung collapse,
on the left side. Sounds like bubbles hitting the inside of the chest. Can be felt/seen. Hamman's crunch is
caused by pneumomediastinum or pneumopericardium, and is associated with tracheobronchial injury
due to trauma, medical procedures (e.g., bronchoscopy) or proximal pulmonary bleb rupture. It is
commonly seen in Boerhaave syndrome.
Hebra nose: Rhinoscleroma. Epistaxis, nasal deformity, and destruction of the nasal cartilage are also
noted along with the damage may result in anesthesia of the soft palate, enlargement of the uvula,
dysphonia, and various degrees of airway obstruction.

Higomenakis's sign: Congenital syphilis. A unilateral enlargement of the sternoclavicular portion of the
clavicle, seen in congenital syphilis. It is an end result of neonatal periostitis.

Hutchinson's sign: Herpes zoster. A skin lesion on the tip of the nose precedes the development of
ophthalmic herpes zoster

Hutchinson's triad: Congenital syphilis with Hypoplasia of incisor (Pegged laterals, screw driver shaped
central incisor and mulberry molars), Eighth nerve deafness and Interstitial keratitis.

Iris pearl’s: Leprosy. Miliary lepromas or iris pearls near the pupillary margins, which are spherical
yellowish opaque micronodules upto 2 mm in size.

Koebner phenomenon: Desquamative gingivitis, Lichen planus, pemphigus, Epidermolysis bullosa

dystropica. Also called the "Koebner response" or the "isomorphic response", refers to skin lesions
appearing on lines of trauma. The Koebner phenomenon may result from either a linear exposure or
irritation. Conditions demonstrating linear lesions after a linear exposure to a causative agent include:
molluscum contagiosum, warts and toxicodendron dermatitis (a dermatitis caused by a genus of plants
including poison ivy). Warts and molluscum contagiosum lesions can be spread in linear patterns by self-
scratching ("auto-inoculation"). Toxicodendron dermatitis lesions are often linear from brushing up
against the plant. Causes of the Koebner phenomenon that are secondary to scratching rather than an
infective or chemical cause include vitiligo, psoriasis, lichen planus, lichen nitidus, pityriasis rubra pilaris,
and keratosis follicularis (Darier disease). Also seen in Psoriasis, Pityriasis rubra pilaris, Lichen planus,
Lichen nitidus, Vitiligo, Lichen sclerosus, Elastosis perforans serpiginosa, Kaposi sarcoma, Necrobiosis
lipoidica and Systemic Lupus Erythematosus. Warts and molluscum contagiosum are often listed as
causing a Koebner reaction, but this is by direct inoculation of viral particles.

Koplik's spots: Measles. Koplik spots are a prodromic viral enanthem of measles manifesting two days
before the measles rash itself. They are characterized as clustered, white lesions on the buccal mucosa
near each Stensen's duct (on the buccal mucosa opposite the maxillary 2nd molars) and are
pathognomonic for measles

Lisch nodules: Neurofibromatosis. A Lisch nodule is a pigmented hamartomatous nodular aggregate of

dendritic melanocytes affecting the iris, named after Austrian ophthalmologist Karl Lisch.

Livedo reticularis: Systemic lupus erythematosus. Livedo reticularis is a common skin finding consisting of
a mottled reticulated vascular pattern that appears like a lace-like purplish discoloration of the skin.The
discoloration is caused by swelling of the venules owing to obstruction of capillaries by thrombi. It can be
caused by any condition that makes venules swell. The condition may be normal or may be related to
more severe underlying pathology. It has a broad differential diagnosis, broadly divided into possible
blood diseases, autoimmune (rheumatologic) diseases, heart (cardiovascular) diseases, cancers, and
endocrine disorders. It can usually (in 80% of cases) be diagnosed by biopsy.

Millian sign: Erysipelas. Involvement of the ear (Milian's ear sign) is a distinguishing feature for erysipelas
since this region does not contain deeper dermis tissue.

Nikolsky’s sign: Epidermolysis bullosa, pemphigus, Severe Steven –Johnson syndrome, Prophyria, Toxi
Epidermolysis Necrosis, Staphylococci Scalded skin syndrome. The sign is present when slight rubbing of
the skin results in exfoliation of the outermost layer, forming a blister within minutes.

Oil drop sign: Psoriasis. A translucent discolouration in the nail bed that resembles a drop of oil beneath
the nail plate

Ollendorf sign: Secondary syphilis. AKA Buschke-Ollendorff sign - This is a sign to be elicited in case of
secondary syphilis and cutaneous vasculitis, where there is deep dermal tenderness on pressing the
lesion (e.g., papular lesions of syphilis) with a pinhead.

Pastia’s lines: Scarlet fever. Pastia's sign, Pastia lines or Thompson's sign is a clinical sign in which pink or
red lines formed of confluent petechiae are found in skin creases, particularly the crease in the
antecubital fossa, the soft inside depression on the inside of the arm; the folding crease divides this fossa
where the forearm meets the (upper) arm (the biceps, triceps, humerus section of the upper extremity);
the inside of the elbow (the inside flexor depression (fossa) of the elbow. It occurs in patients with
scarlet fever prior to the appearance of the rash and persists as pigmented lines after desquamation.

Rooban Thavarajah at 04:08 1 comment:

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Monday, 8 July 2013

Peculiar Signs/symptoms-1

Asboe-Hansen sign: Bulla spread sign in pemphigus

Acro-osteolysis: Scleroderma

Apple jelly nodules in nasal septum: Lupus vulgaris

Arnold head: Cleidocarnial dysplasia

Ash-leaf spots: Tuberous sclerosis

Auspitz sign: Psoriasis

Bald tongue of Sandwith: Pellagra

Bird facies: Treacher-collins syndrome

Brazillian wild fire: Pemphigus foliaceus

Buffalo hump: Cushing’s syndrome

Bull neck: Diphtheria

Bull’s eye lesion: Steven-Johnson syndrome

Bull’s teeth: Taurodontism

Butterfly shaped lesion on malar bone: Sytemic lupus erythematous, Erysipelas

Button-hole sign: Neurofibromatosis

Café au lait spots – coast of California: Neurofibromatosis

Café au lait spots – coast of Maine: Fibrous dysplasia

Carpet tack lesions: Discoid lupus erythematosus

Cerebriform tongue: Pemphigus vegetans

Charcot’s triad: Seen in multiple sclerosis, characterized by intention tremor, nystagmus, dysarthria

Chipmunk facies: Thalassemia

Chovstek’s sign: Hypoparathyrodism

Circus rubber man: Ehler-Danlos syndrome

Claw hands: Scleroderma

Clover leaf skull deformity: Crouzon syndrome, Apert’s syndrome

Compy's sign: Measles

Cobble stone appearance: Lymphangioma, Inflammatory papillary hyperplasia, Heck’s disease

Coup de saber: Facial hemiatrophy, Scleroderma

CREST: Scleroderma

Crowe’s sign: Neurofibromatosis

Cupids bow: Double lip

Dew drop on rose petal: Varicella

Erythema nodosum: Coccidiodiomycosis, sarcoidosis

Exercise bone: Traumatic myositis ossificans

Eyes upturned to heaven: Cherubism

Facies leprosa: Leprosy

Farmer’s skin: Solar elastosis

Fetal facies: Robinow syndrome

Fine pink colored glistening scales: Pityriasis rosea

Fish facies: Treacher-Collins syndrome

Forschemmier sign: Rubella

Fournier’s molars: congenital syphilis

Frog facies: Crouzon syndrome

Gorlin sign: Ehler -Danlos Syndrome

Grains of salt on a red background: Measles

Grattage sign: Psoriasis

Hamman’s crunch: Cervicofacial emphysema

Harelip: Cleft lip

Hebra nose: Rhinoscleroma

Herald spots: Pityriasis rosea

Higomenakis's sign: Congenital syphilis

Hockey stick deformity of femur: Fibrous dysplasia

Hunter’s glossitis: Pernicious anemia

Hutchinson's sign: Herpes zoster

Hutchinson's triad: Congenital syphilis with Hypoplasia of incisor (Pegged laterals, screw driver shaped
central incisor and mulberry molars), Eighth nerve deafness and Interstitial keratitis.

Iris lesion: Steven-Johnson syndrome

Iris pearl’s: Leprosy

Koebner phenomenon: Desquamative gingivitis, Lichen planus, pemphigus, Epidermolysis bullosa

dystropica

Koplik's spots: Measles

Leonine facies: Leprosy

Leontiasis ossea: Paget’s disease

Leser-Trelat's sign: Seborrheic keratosis, internal malignancy

Lisch nodules: Neurofibromatosis

Livedo reticularis: Systemic lupus erythematosus

Lock jaw: Tentanus

Longitudinal lines in nails: Darrier’s disease

Luetic glossitis: Syphilis

Lupus pernio: Sarcoidosis

Magenta tongue: Riboflavin deficiency

Maldon teeth: Flurosis

Mask like face: Systemic sclerosis, Periodic paralysis, Parkinsonism, Facial palsy.

Millian sign: Erysipelas

Mitten hands: Apert’s syndrome

Moeller’s glossitis: Pernicious anemia

Mongloid appearance: Down’s syndrome, Thalassemia

Moon facies: Cushing syndrome

Moth eaten alopecia: Secondary syphilis, Tinea capitis infection.

Mulberry molars: Syphilis

Mulberry like ulcerations: Paracoccidiodiomycosis

Myopathic facies: Dystrophic myotonia

Nail fold telangiectasia: Scleroderma, Systemic lupus erythematosus

Nikolsky’s sign: Epidermolysis bullosa, pemphigus, Severe Steven –Johnson syndrome, Prophyria, Toxi
Epidermolysis Necrosis, Staphylococci Scalded skin syndrome

Oil drop sign: Psoriasis

Ollendorf sign: Secondary syphilis.

Onycholysis: Psoroasis

Papyraceous scarring: Ehler-Dahlos syndrome

Parrot’s beak nose: Crouzon syndrome

Pastia’s lines: Scarlet fever

Percussion contraction: Congenital myotonia

Petrified man: Myositis ossificans progressiva

Pink teeth: Internal resorption, Leprosy

Pterygium of nails: Lichen planus

Raspberry tongue: Scarlet fever

Red strawberry tongue: Scarlet fever

Rodent facies: Thalassemia

Shagreen patch: Tuberous sclerosis

Shepard's crook sign: Fibrous dysplasia

Simian stance: Paget’s disease

Skin with sand paper texture: Scarlet fever

Snail track ulcers: Syphilis

Socks feet: Apert’s syndrome

Steinberg’s sign: Marfan syndrome

Strawberry gingivitis: Wegner's granulomatosis

Submerged teeth: Ankylosed teeth

Sulphur like granules in pus: Actinomycosis, Botryomycosis

Sun burn with goose pimples appearance: Scarlet fever

Swan neck: Dystrophic myotonia

Tapir lips: Mild restricted muscular dystrophy

Target lesion: Steven-Johnson syndrome

White strawberry tongue: Scarlet fever

Woronhoff's ring: Halo around any skin lesion

Wrist sign: Marfan syndrome

Rooban Thavarajah at 08:20 1 comment:

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Wednesday, 3 July 2013

Unique Histopathology picture/Bodies

Lesion/ Condition

Histopathological appearance

Actinomycosis

Organism arranged in Radiating rosette or Sunray pattern

Adenoid cystic carcinoma – cribriform pattern

Swiss cheese pattern or Honey comb pattern

Alveolar soft part sarcoma

Tumor cells in pseudoalveloar or organoid pattern

Apthous ulcer smear

Anitschkow cells

Aspergillosis

Organism are branching, septate hyphae invading blood vessels

Basal cell adenoma- membranous type

Neoplastic cells in Jigsaw puzzle pattern

Burkitt's lymphoma

Starry sky pattern

Calcifying epithelial odontogenic tumor

Lisegang rings – concentric calcifications

Calcifying Odontogenic cysts

Tumor cells have Ghost cells

Canalicular adenoma

Paired wall arrangement of neoplastic cells

Cat Scratch disease

Lymph node cortical hyperplasia; areas of stellate supparative necrosis surrounded by a band of
histiocytes

Chronic diffuse sclerosing osteomyelitis

Bone shows mosaic pattern

Cicatricial pemphigoid

Sub-epidermal / sub-epithelial split; no acantholysis

Cytomegalovirus

Inclusion bodies makes the owl eyes cells

Dilantin sodium induced gingival hyperplasia

Test tube rete pegs

Epstein’s nodule

Keratin arranged in concentric “onion ring”

Ewing’s sarcoma

Neoplastic cells arranged in Filigree pattern

Family benign Pemphigus

Dilapidated brick wall effect; corps ronds and grain

Fibrosarcoma – intermediate
Herring bone pattern

Fibrous dysplasia

Chinese letter shaped bone trabeculae

Fibrous histiocytoma

Storiform pattern; Grenz zone

Gaucher’s disease

Gaucher’s cell with crumpled silk cytoplasm (liver cells)

Hemangiopericytoma

Stag horn pattern

Hereditary benign intraepithelial dyskeratosis

Cell with in a cell appearance -dyskeratotic epithelial cell

Hodgkins lymphoma

Lacunar type Reed Sternberg Cells – Owl eye cells

Hodgkins lymphoma – Nodular, lymphocyte predominant

Popcorn cells or Kern cells

Hurler syndrome

Hurler cells or Gargoyle cells or clear cells

Junctional nevus

"Abtropfung" effect

Keratosis follicularis

Corps ronds and grains

Lipoblastoma

Signet ring cells

Multiple myeloma

Russell cells; sheets of plasma cells that have a cart wheel or checker board type of nuclear pattern
Mycosis fungoides

Mycosis cells or Sezary cells with cerebriform nucleus, Pautrier's micro abscess

Neurolemmoma

Antoni A; Antoni B; Verocay bodies

Niemann – Pick disease

Niemann –Pick cell in reticuloendothelial system as Sea-blue histiocyte

Oncocytoma

Oncocytes in alveolar or Organoid pattern

Paget's disiease

Jig jag or mosaic pattern of bones seem

Paracoccidiodiomycosis

Organism appears as a mickey mouse ears or Mariners wheel appearance

Para-neoplastic Pemphigus

suprabasilar split; Dyskeratotic cells

Pemphigus foliaceous

suprabasilar split, Antibodies to Desmoglein 1, Prevesicular edema, Tzank cells in smear; basal cells “ row
of tombstones”

Pemphigus vulgaris

suprabasilar split, Antibodies to Desmoglein 1,3., Prevesicular edema, Tzank cells in smear; basal cells “
row of tombstones”

Pernicious anemia

Bone marrow biopsy - Erythroid precursors show checkerboard appearance

Polymorphous low grade adenocarcinoma

Indian filing pattern type of arrangement of neoplastic cells

Porokeratosis of Mibelli

Coronoid lamella
Radicular dentin dysplasia

Lava flowing over boulders

Rhabdomyosarcoma – Embryonal

Tadpole shaped rhabdomyoblasts

Rhabdomyosarcoma- pleomorphic

Spindle tumor cell appears as racquet / strug/ ribbon cells

Regional odontodysplasia

Enamloid congromerulates

Sarcoidosis

Schaumann bodies (Laminated basophilic calcifications), Asteroid bodies (Stellate inclusions in

granulomatous inflammation)

Scurvy

Grustmark and Trummerfield zone in bone

Synovial sarcoma

Appears like a developing joint with a typical synovium like cleft

Thalassemia

Intracellular inclusion bodies in erythrocytes - Fessas bodies –demonstrated by supravital stains; Target
cell appearance; “safety pin cells”

Verruciform xanthoma

Foam cell limited to connective tissue papillae

Warty dyskeratoma

Corps ronds and grains

White spongy nevus

Eosinophilic condensation in perinuclear region of cells in superficial layers

Zygormycosis

Organism are large, branching, non septate hyphae invading blood vessels
More"Bodies"

· Apoptotic bodies : membrane bound spherical structures in Apoptosis

· Aschoff's bodies : Rheumatic fever

· Asteroid bodies : Sporotrichosis; Sarcoidosis

· Babes:Ernest metachromatic granules : Diphtheria

· Balbiani's Bodies : yolk nucleus

· Bamboo Bodies : asbestos bodies

· Bollinger's bodies : Fowl pox (intracytoplasmic)

· Brachy Wächter Bodies : Infective Endocarditis

· Brassy Body : dark shrunken blood corpuscle found in MALARIA

· Civatte’s (colloid) bodies : Lichen planus

· Coccoid X Bodies : psittacosis

· Councilman bodies : Yellow fever

· Cowdry type:A bodies : Yellow fever, Herpes virus infection

· Cowdry type:B bodies : Adenovirus, Poliovirus

· Davidson’s body : sex chromatin in neutrophils (dumbbell shaped); "Check Barr Bodies"

· Döhle bodies : cytoplasmic inclusion bodies in neutrophils seen in bacterial infection

· Donovan body : Granuloma inguinale

· Feruginous Bodies : Asbestosis

· Gamma-Favre bodies : LGV

· Guarnieri's bodies : Vaccinia (intracytoplasmic)

· Hectoid bodies : Sickle cell anemia

· Heinz bodies – thalassemia; G6PD DEF

· Henderson:Peterson's bodies : Molluscum contagiosum

· Herring bodies : pars nervosa of pituitary gland

· Hirano bodies : Alzheimer’s disease

· Histiocytosis:X(HX)(Birbeck's granules) : Histiocytosis:X

· Howell:Jelly bodies : splenectomy , Megaloblastic Anaemia, Hemolytic anaemia

· LE bodies (hematoxylin bodies) : SLE

· Leishman’s Donovan’s bodies : Kala Azar

· Lewy bodies : Parkinson's disease

· Lipschütz' bodies : intra nuclear inclusions in herpes simplex infection

· Miyagava's bodies : Lymphogranuloma venereum

· Moser’s bodies : Typhus fever

· Mott Bodies : multiple myeloma

· Negri bodies (intracytoplasmic, intra neuron, hippocampus) : Rabies

· Nissl’s bodies : cytoplasmic inclusions in neurons

· Odland Bodies : Flegel’s Disease (i.e hyperkeratosis lenticularis perstans); Keratinosome

· Oken's Body : mesonephros

· Pappenheimer bodies – non heme iron pigments in siderocyte

· Paschen Bodies : variola or vaccinia

· Pick BODIES : PICKS Disease

· Red Neurons : Apoptosis

· Reilly’s bodies : Hurler's syndrome

· Residual Bodies : SARCOID AND SARCOID LIKE GRANULOMAS

· Schaumann’s/Conchoids bodies (calcium & iron complexes) : Sarcoidosis & Berylliosis

· Torres bodies : Yellow fever

· Verocay bodies – Neurilemmoma; schwannoma

· Weibel:Palade bodies : storage organelles of von Willebrand’s factor in platelets & endothelium

· Winkler's & Ross's bodies : Syphilis

· Zebra bodies : cytoplasmic inclusions in schwann cell degeneration

Zebra BODIES : Metachromatic Leukodystrophy, Niemann Pick's Disease.

Rooban Thavarajah at 04:08 1 comment:

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