“…The association of epidermal pseudocarcinomatous hyperplasia with transepidermal elimination, when occurring as a secondary component of a primary skin disease, has been observed in the infectious disorders previously described 4,48,49 . A role for the dermal inflammatory response, caused by the infectious organism, in initiating the hyperplasia has also been highlighted in this setting; a finding consistent with earlier experimental results whereby irritants in the superficial dermis incited inflammation and epithelial proliferation 50 . In our study, pseudocarcinomatous hyperplasia was significantly higher in cases with transepidermal elimination; however, cases with a normal or atrophic epidermis were also noted.…”