Pathology · single question
A 50-year-old female with white striae on her cheek. Diagnosis and treatment?
Show answer and explanation
Correct answer: B. Lichen Planus — Clobetasol (corticosteroid)
WHITE STRIAE (Wickham's striae) on the buccal mucosa in a middle-aged woman = LICHEN PLANUS. Classic reticular pattern with interlacing white lines. Treatment for symptomatic cases: topical CORTICOSTEROIDS (clobetasol propionate is a high-potency topical steroid — drug of choice). Leukoplakia would be a white PATCH (not striae), can't be wiped off. Candidiasis is white and CAN be wiped off. Leukoedema disappears when cheek is stretched. B is correct.