A. Sarah Erem

You have power over your mind – not outside events. Realize this and you will find strength by M. Aurelius about COVID. Dermpath25 @ColumbiaDerm @EmoryPathology

[A. Sarah Erem @CakePath]

Today is the last day of my last CORE AP rotation.
No more noise... 🥰🥰🥰
Next year, it will be wherever you want it to be! (paraphrasing the grandpa)
#dermpath #dermx #pathx #skinpathology #dermatologia #dermatology #dermatologist #skinpath #histopathology #dermatopathologia #dermatopathology #dermatopathologist @MeredithKHerman #PathArt

[A. Sarah Erem @CakePath]

Always educational #dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #pathTwitter

[Andrew Bellizzi 🇺🇦 @IHC_guy]

I am excited to announce our next @ISIMMweb webinar scheduled for Wednesday, May 20 at 11 am ET.

Sarah Chiang (@MSKpathology; renowned for major effort in GYN mesenchymal tumors) will present "Cracking the Code of GYN Mesenchymal Tumors."

Register here: https://t.co/oz2dSDv0FW

[A. Sarah Erem @CakePath]

👇🛑 Dermatofibroma: start above the lesion — epidermal induction is the clue.

👀 Look up first: acanthosis
🎨 Pigment clue: basal hyperpigmentation over the lesion
🌱 Induction pattern: follicular/adnexal buds may mimic a superficial bcc tumor
🎯 At the edge: collagen trapping helps seal the diagnosis
#dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #pathTwitter

[pathCast @pathologyCast]

We are excited to launch the new @pathologyCast website:
🌐 https://t.co/YuEvyboogA
A modern, Netflix-style platform for pathology education featuring:
🔹 300+ lectures
🔹 Global expert speakers
🔹 100% free

Built to make pathology learning easier to explore, and enjoy
.

[A. Sarah Erem @CakePath]

🔬 VZV / herpes zoster: never gets old — like Chanel, it’s timeless!
🎈 Ballooning degeneration of keratinocytes
🧩 Acantholysis with intraepidermal vesicle/ulcer
👥 Multinucleated keratinocytes with nuclear molding
🔵 Steel-gray nuclei / chromatin margination ± Cowdry A inclusions
🧬 Follicular/adnexal involvement can be a helpful clue for VZV
Key differentials 🔍
🦠 HSV — histologically very similar; if you were told they can separate them on H&E --> that is fake news! HSV/VZV IHC
🧴 Spongiotic/contact dermatitis — vesicles + eosinophils, but no viral cytopathic effect
🐜 Arthropod bite reaction — wedge-shaped infiltrate, eosinophils, no herpetic nuclear changes
💊 Fixed drug eruption / PLEVA — necrotic keratinocytes and interface change, but no multinucleation/Cowdry inclusions
#dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #pathTwitter

[A. Sarah Erem @CakePath]

@smlungpathguy NYC is the best!!! #nycphotography #newyorkcity #bigapple

[A. Sarah Erem @CakePath]

LoOOOve #dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #pathTwitter

[Jose Candido @JCandidoXavier]

Pathology art of the day: abstract elastic fibers by elastofibroma

🖌️🎨🔬🔬

#path #pathology #dermpath #dermatology

[A. Sarah Erem @CakePath]

Warty Dyskeratoma Rocks:
🕳️ Crater / cup-shaped lesion = Architecture clue → start thinking WD immediately
🔓 Suprabasal acantholysis →Loss of cohesion (Darier-like)
🧬 Corps ronds + grains = Dyskeratosis → confirms pattern
🌿 Villous projections 🧱Sealing feature → helpful, almost specific
#dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #pathTwitter

[A. Sarah Erem @CakePath]

@JCandidoXavier MCPyV?

[A. Sarah Erem @CakePath]

ISDP rocks!

[Int Soc Dermpath @IntSocDermpath]

Lesions induced by deodorant spray

•Subepidermal blister

•Epidermal necrosis

by @KarinaMunhoz10

#ISDP2026Denver #dermpath #dermatology #pathology

[A. Sarah Erem @CakePath]

Congrats!!!! 👇😍🥰😇#dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #pathTwitter

[Int Soc Dermpath @IntSocDermpath]

#ISDP2026Denver #dermpath #medicine

[Jose Candido @JCandidoXavier]

Happy to present the results of our group on the digital analysis of acral melanocytic lesions during the 29th @IntSocDermpath Joint Meeting in Denver. 😊

#path #pathology #dermpath #medicine #isdp2026denver

[A. Sarah Erem @CakePath]

As usual, Wen-Yu is crushing it at USCAP. I can’t wait to visit you at your new job—best of luck! #USCAP2026 #pathology #gipath

[A. Sarah Erem @CakePath]

🛑Dermpath ASDP Walk – USCAP2026 🚶‍♀️🔬👇Dermpath - the path to rule them all #USCAP2026 #pathology #path #dermatology #dermpath @ASDPTweets

[A. Sarah Erem @CakePath]

I saw wished I was there! That is my fav part of derm meetings! #ISDPDenver2026 #ISDP #dermpath #PathX

[Int Soc Dermpath @IntSocDermpath]

In two days: 29th Joint Meeting of the ISDP
#ISDPDenver2026 #ISDP

[A. Sarah Erem @CakePath]

Well deserved, Meredith #USCAP2026

[Michigan Pathology @UMichPath]

Congratulations, @MeredithKHerman, on being honored as #USCAP2026 Ambassador of the Year! #UMichPath

[A. Sarah Erem @CakePath]

I’m excited to share that The Pathologist has included our Warty ART in its artwork series 🧩✨ Please feel free to circulate the link below 🔗👇😊 I’m very grateful to be included. https://t.co/XuPCgpomV8 #dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #pathTwitter @pathologistmag

[A. Sarah Erem @CakePath]

Let’s start the morning with pressure lesions! This one is rare but worth knowing—it's much more common on the ear.
🛌Chondrodermatitis Nodularis Nasi (CNN):
👃 Painful, tender small nodule on the nasal tip/ala
⚠️ Central ulcer with wedge-shaped dermal ischemic degeneration
🧩 Underlying degenerative cartilage-chondrocyte dropout/fissuring
🔄 Pressure-induced ischemic repair pattern with granulation tissue — histologically identical to Chondrodermatitis nodularis helicis
#dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #PathTwitter

[A. Sarah Erem @CakePath]

🔬 Perivascular Myoid Tumors: SMA+, desmin-, caldesmon- 👉 fake smooth muscle tumors!
1.Biphasic pattern + hemangiopericytoma-like vessels➡️Myofibroma (image attached 👇)
2.Concentric perivascular wrapping without zonation
Uniform onion-skin architecture ➡️ Myopericytoma
🔬🔬True smooth muscle differentiation: SMA+, desmin+, caldesmon+
Think "Thick"-walled muscular vessels ➡️Angioleiomyoma
#dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #pathTwitter