Pathology · single question
A patient has red, desquamative gingiva with epithelium separating from the basal layer. Which medication is most appropriate?
Show answer and explanation
Correct answer: D. Lidex (fluocinonide 0.05%)
- A. ❌ Chlorhexidine is antiseptic — it does not treat the underlying autoimmune process.
- B. ❌ Nystatin treats fungal infections — not autoimmune vesiculobullous diseases.
- C. ❌ Acyclovir is antiviral — not appropriate for an immunological condition.
- D. ✅ Correct. Separation of epithelium from basal layer with red/desquamative gingiva is characteristic of vesiculobullous autoimmune disorders (pemphigoid or pemphigus). High-potency topical corticosteroids like FLUOCINONIDE (Lidex) are the treatment of choice.