Pathology · single question

A patient presents with a description consistent with Civatte bodies on histologic examination. What medication is most appropriate?

  1. Clobetasol
  2. Acyclovir
  3. Clotrimazole
  4. Amoxicillin
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Correct answer: A. Clobetasol

  • A. Civatte bodies (colloid bodies/cytoid bodies) are apoptotic keratinocytes seen in oral LICHEN PLANUS. Lichen planus is treated with TOPICAL CORTICOSTEROIDS — clobetasol propionate (high-potency topical steroid) is the first-line treatment for symptomatic oral lichen planus.
  • B. Acyclovir is an antiviral — used for herpetic infections, not lichen planus.
  • C. Clotrimazole is an antifungal — used for candidiasis, not lichen planus.
  • D. Amoxicillin is a penicillin antibiotic — not indicated for lichen planus.

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