Case report and review of esophageal lichen planus treated with fluticasone

Figure 3 Chronic inflammatory cell infiltration of the epithelium was also present and was mainly composed of lymphocytes. A: Low power view of upper esophagus shows extensive severe keratinization, organizational disarray of cell arrangement and spongiosis of lower layer associated with inflammatory infiltration. (E, × 40); B: High power of parakeratotic cells and accumulation of keratohyaline granules in the cytoplasm of the mature keratinocytes. In this zone keratinization is mild. (HE, × 400); C: High power view of spongiosis of lower layers of squamous epithelium associated with sprinkling of lymphocytes typical of longstanding chronic inflammation. (HE, × 400).