**Core Concept**
A solitary erythematous oval lesion with central clearing giving a target appearance is a classic dermatological description known as a "target lesion" or "target sign." This presentation is often associated with erythema multiforme, a type of hypersensitivity reaction that involves the skin and mucous membranes.
**Why the Correct Answer is Right**
The target appearance of the lesion is due to the concentric arrangement of erythema and edema, resulting from vasodilation and increased vascular permeability caused by immune complex deposition. This reaction is mediated by the complement system and involves the release of various cytokines and chemokines, leading to inflammation and tissue damage. The central clearing may be due to the resolution of the immune response or the formation of a necrotic center.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not accurately describe the characteristic appearance of a target lesion.
**Option B:** This option is incorrect because it is not a common cause of a solitary erythematous oval lesion with central clearing.
**Option C:** This option is incorrect because it is a different type of dermatological condition that presents with a different clinical appearance.
**Clinical Pearl / High-Yield Fact**
A key feature to remember is that target lesions are often associated with systemic symptoms, such as fever, malaise, and joint pain, and may be a sign of an underlying systemic disease process.
**Correct Answer: C. Stevens-Johnson syndrome**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.