Doctor insights on:
Perivascular Lymphocytic Dermatitis
Vacuolar interface dermatitis, tight superficl perivascular & periadnexial lymphocytic infiltrate, mild incr. In dermal mucin. No fungus.-rash biopsy.?
Varied possibilities: These findings suggest several possible entities. Based on this description of biopsy findings diagnoses including connective tissue disease such as lupus erythematosus may be considered, as well as a drug reaction. However, the only way to accurately make a diagnosis is to correlate the biopsy findings with the clinical presentation and other symptoms a patient may be having. ...Read more
Derm biopsy report: mild vacuolar dermatitis with scattered papillary dermal interstitial eosinophils and perivascular lymphocytes. What does it mean?
Biopsy report: You need to discuss this with the person who did the biopsy and ordered the report. They are in the best position to interpret it. We don't even know where the biopsy was from. ...Read more
Hi doctors, can you tell me what is perivascular and interstitial dermatitis with eosinophils and slight spongiosis?
Since that is a: Pathology diagnosis, you need to take your results to a dermatologist. Comparing the pathology with the clinical findings will get you a correct diagnosis ...Read more
Can perivascular dermatitis leave thinng scarring severely sensensitve skin on glans and under penis for years biospy said that it was but never ictch?
Here are some…: Clinically, at least, I would like to congratulate for not being skin malignancy. Perivascular dermatitis is merely a descriptive term as seen on the microscope. But how this may be correlated with clinical picture is still unclear and how to manage your current condition is also uncertain. In facing current dilemma, One has to consider the balance between medical necessity and pro-possibility. ...Read more
Cause for reocurring petechiae on lower legs with normal bloodwork? Biopsy came back perivascular dermatitis w/eosinophils w/extravasated erythrocytes
Does dermitis and ecmeza on penis cause itching it cracked on glans and under leaving scarring no itching ever biospy said perivascular dermatitis???
Reason for recurring petechiae on legs with normal CBC, PT, PTT, ANCA, ANA, biopsy showed perivascular dermatitis w/eosinophils, no new meds? Ideas?
Hi, My skin biopsy shows "hyperkeratosis and acanthosis of the epidermis and in dermis perivascular lymphocytic infitrate" will Ciclosporin help me?
Not specific enough: This sounds like a fairly benign pathologic description, so I doubt you would need cyclosporine, unless there is other information, or there has been no response to more benign therapies ...Read more
Causes of modest superfical perivascular lymphocytic infiltrate? Vessels show reactive changes, no necrosis, no eosinophils and no neutrophils seen.
Skin inflammation: This indicates an inflammatory process involving the skin, but it doesn't point to a specific cause. You will need to follow with your dermatologist regarding the cause and treatment of your condition. ...Read more
Skin biopsy result: superficial to mid dermal perivascular lymphocytic infilitrate with focal basal vacuolar changes. Does thismean allergic vasculitis?
My skin biopsy says mild perivascular lymphcytic infiltrate. Mild mucopolysacharide like material in papilary dermis extending to skin. What is this?
Nonspecific.: This is a very nonspecific picture. It can be seen in many common skin conditions, such as sunburn, eczema, and medication rashes. The fact that the pathologist did not list a diagnosis indicates that the appearance is too nonspecific to pinpoint a cause, so (s)he just described what (s)he saw. ...Read more
"there is an accompanying mild perivascular & interstitial acute & chronic infiltrate." what does that mean in layman's terms? (vulvar biopsy)
Not much: It's a little bit inflamed & has been for some time. These mild changes may be more helpful to the dermatologist who may be trying to make a specific diagnosis -- or just a tipoff on "nothing to worry about." your physican will give you the final word. ...Read more
What's the difference between white matter lesions and perivascular spaces? There's a possibility to one mimic the other?
MRI findings: Sometimes perivascular spaces look like changes in the white matter. They are terms used to describe nonspecific findings. White matter lesions are normally discrete, not nearby blood vessels, and sometimes have MRI characteristics that help us know they are due to a stroke or MS. It is possible that one looks like the other, depending on what kind of MRI is done, and who is interpreting it. ...Read more
Enlarged perivascular spaces on Mri. What does it mean? And why would the radiologist report something like that?
Part of their job: Radiologist would report anything that is not considered normal. More importantly, you should talk to the doctor ordering the test to see if your symptoms match the abnormality seen on the images. In most cases, many variations of the normal are just that, variations without any significant pathology. Feel gokd ...Read more
Hello. I had an MRI of head about 2 years ago that showed enlarged perivascular spaces. Is this a cause for concern? Is it significant?
No: This is a normal finding of no clinical concern. ...Read more
My son had a skin biopsy (7 yrs). N the report says perivascular lymphoctic infiltrate with extravasated rbc. I need to know what does it mean.
Possibly viral: Many reactions to viruses have histology (microscopic appearance) with this description. Would need to see the entire report and slide to be sure. ...Read more
I had bilat. Mastectomy last Nov. On non cancer side path. Stated" perivascular chronic inflammation". Could that cause problem during the surgery?
Likely not: This is likely a chronic thing. This may be precancerous development. You need to see the doctor that did the surgery and have the surgeon talk to the pathologist. If there is no cancer there is no cancer. The chronic vascular phenomena may be just that and no more. Get peace of mind also if you talk to your cancer doctor. Should not cause a problem during surgery. Best wishes ...Read more
Mri no contrast "incidental superficial left ventral pontine tegmentum tiny 3 mmt2 hyper intensity in keeping with a perivascular space"? Help please!
Had penis biopsy on under glans years ago came back perivascular inflammatory infiltrate remarks were possiblepost inflammatory changes what's it mean?
Infection: You had some sort of infection/bruising. Are you a diabetic, sti8ll have foreskin? ...Read more
Affected by perivascular sheathing 4years ago (re).Now it seems my vision is foggy and it started on left eye too. Specialists in our city found nothing?
Retinal vasculitis: May cause perivascular sheathing or thickening of either the veins or arteries in the retina. Autoimmune vasculitis is a frequent concern. Any of these diseases can cause such inflammation which can damage the retina and cause permanent visual loss. A retina specialist who can conduct a Fluorescein angiogram can help. Also get TB test. Many autoimmune diseases have manifestations in the retina. ...Read more
Perivascular (also known as perivenular or virchow-robin) spaces can be seen at any age and have bizarre or asymmetric configurations. They tend to become more numerous and larger as a person ages, and are benign.
The only concern is if they are confused for a cystic space caused by a disease. Knowing where v-r spaces are likely to develop makes it much easier to accurately diagnose them. ...Read more
Superficial left pontine tegmentum tiny 3 mm t2 hyperintensity in keeping with a perivascular space on mri. Could this be from a stroke?
Stroke: Not to worry. Perivascular spaces (Virchow-Robin spaces) are normal and not caused by a stroke. They can occur throughout the brain. The perivascular spaces vary in size (up to 5 mm) and are associated with arteries in the brain. ...Read more
Help understand skin biopsy result: "There is a sparse perivascular lymphohistiocytic inflammatory infiltrate. CD117 highlights only a few scattered mast cells. Diagnosis: Mild superficial perivascular infiltrate." Anything of concern here?
See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the findings listed in the report are non-specific and non-diagnostic. Do you have any symptoms? Why was the biopsy done? ...Read more
My head MRI shows I have enlarged perivascular spaces and a cyst in pineal gland should I consult a neurosurgeon?
Not neccessarily: The neurosurgeon will not treat either of those conditions. They are relatively common findings and typically benign. Some surgeons will arrange for a followup MRI to assure that the cyst is not growing, but this is cost ineffective. The vast majority of the cysts are benign and enlarged perivascular spaces has no significance. ...Read more
I had a CT scan today. The results say I have a perivascular space on base of brain, on the right. What does this mean? Thank you.
Means you check out: It's a benign finding and in fact quite normal in the majority of people. ...Read more
What does this mean: flow void is identified in major intracerebral blood vessels. Small prominent perivascular spaces in inferior basal ganglia bil?
What does "incidental superficial left ventricle pontine tegmentum tiny 3mm t2 hyper intensity in keeping with perivascular space mean on MRI of head?
Dye intesification: That 3mm area in brain takes the contrast dye more than rest of the brain tissue. ...Read more
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