Pathology · single question

Civatte bodies are seen in which condition?

  1. Oral lichen planus
  2. Pemphigus vulgaris
  3. Mucous membrane pemphigoid
  4. Erythema multiforme
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Correct answer: A. Oral lichen planus

  • A. Civatte bodies (colloid bodies, hyaline bodies) are eosinophilic, homogeneous, rounded structures representing APOPTOTIC KERATINOCYTES at the epithelial-connective tissue junction in LICHEN PLANUS. They are the histopathological hallmark of lichen planus and result from basal cell degeneration (liquefactive/hydropic degeneration).
  • B. Erythema multiforme shows satellite cell necrosis — not Civatte bodies. Civatte bodies are specific to lichen planus.
  • C. MMP shows subepithelial blistering with IgG and complement at the basement membrane zone — NOT Civatte bodies.
  • D. Pemphigus vulgaris shows intraepithelial acantholytic cells (Tzanck cells) and IgG antibody binding to desmoglein — NOT Civatte bodies.

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