I always think of them as clear areas under the basement membrane but usually a Grenz Zone represents the clear area between a florid dermal infiltrate and the basement membrane.. Consider granuloma faciale, but also B cell lymphoma and Leukaemia, Pseudolymphoma , Lepromatous leprosy and acrodermatitis chronica atrophicans.
I admit to also thinking about amyloidosis, the collagen deposition of lichen sclerosus and the space above a dermatofibroma but technically they are not true Grenz zones.
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