Sclerotic bodies are seen in: September 2009
## **Core Concept**
Sclerotic bodies are a characteristic histopathological feature seen in certain types of fungal infections. They are particularly associated with chromoblastomycosis, a chronic fungal infection of the skin and subcutaneous tissue caused by fungi that thrive in soil and vegetation.
## **Why the Correct Answer is Right**
The correct answer, **C. Chromoblastomycosis**, is right because sclerotic bodies, also known as sclerotic cells or muriform cells, are a hallmark of chromoblastomycosis. These bodies are thick-walled, pigmented cells that result from the asexual reproduction of the causative fungi, such as Fonsecaea, Cladophialophora, and Fonsecaea monophora. The presence of sclerotic bodies in tissue samples is diagnostic for chromoblastomycosis.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Coccidioidomycosis is a fungal infection caused by Coccidioides immitis or Coccidioides posadasii. It is characterized by the presence of spherules in tissue, not sclerotic bodies.
- **Option B:** Histoplasmosis is caused by Histoplasma capsulatum and is characterized by the presence of small, intracellular yeast cells, not sclerotic bodies.
- **Option D:** Sporotrichosis is caused by Sporothrix schenckii and is characterized by the presence of yeast cells and sometimes asteroid bodies, but not sclerotic bodies.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that chromoblastomycosis typically presents as a slowly progressive skin lesion, often on the lower extremities, and is more common in tropical regions. The presence of sclerotic bodies in a skin biopsy is diagnostic.
## **Correct Answer:** C. Chromoblastomycosis