**Core Concept**
Lichen planus is a chronic, inflammatory, mucocutaneous disease characterized by an autoimmune response against basal cell layer of the skin and mucous membranes, leading to a T-cell mediated cytotoxic reaction.
**Why the Correct Answer is Right**
The correct answer relates to the pathogenesis of lichen planus, which involves an interplay between genetic predisposition, environmental triggers, and immune system dysregulation. The disease is characterized by the presence of colloid bodies, apoptotic keratinocytes, and a lymphocytic infiltrate in the dermal-epidermal junction. The autoimmune response is directed against proteins such as desmoglein 3, a key component of desmosomes in the epidermis.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is likely incorrect as lichen planus is not primarily a fungal infection.
* **Option B:** This option is incorrect as lichen planus is not a manifestation of a systemic disease such as lupus or rheumatoid arthritis.
* **Option C:** This option is likely incorrect as lichen planus is not a type of psoriasis.
**Clinical Pearl / High-Yield Fact**
Lichen planus is associated with an increased risk of developing squamous cell carcinoma, particularly in the oral mucosa. This highlights the importance of regular follow-up and surveillance in patients with lichen planus.
**Correct Answer:** D.
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.