A gardener came to OPD with following skin lesions and histopathological examination is also shown below Diagnosis
**Core Concept**
The question requires the identification of a skin lesion based on histopathological examination, which involves analyzing the microscopic appearance of the skin tissue. This requires knowledge of dermatopathology and the ability to interpret histological features.
**Why the Correct Answer is Right**
The histopathological image shows a characteristic "daisy-like" appearance with a central keratinous plug and peripheral neutrophilic infiltrate. This is consistent with a diagnosis of **Molluscum contagiosum**, a viral skin infection caused by the Molluscum contagiosum virus (MCV). The virus infects the keratinocytes, leading to the formation of a characteristic skin lesion.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not match the histopathological features described. The lesion shown in the image is not consistent with a diagnosis of warts, which are caused by the human papillomavirus (HPV).
**Option B:** This option is incorrect because it does not match the histopathological features described. The lesion shown in the image is not consistent with a diagnosis of seborrheic keratosis, which is a benign skin tumor that typically presents as a brown or black lesion.
**Option C:** This option is incorrect because it does not match the histopathological features described. The lesion shown in the image is not consistent with a diagnosis of basal cell carcinoma, which is a type of skin cancer that typically presents as a translucent, shiny, or ulcerated lesion.
**Clinical Pearl / High-Yield Fact**
Molluscum contagiosum is a common skin infection that can be transmitted through skin-to-skin contact or contaminated objects. It is more common in children and immunocompromised individuals.
**Correct Answer:** D. Molluscum contagiosum.