skip to main content

Genital Lichen Planus — SCE Dermatology MCQ

Instant feedback + full explanation. One question, done properly.

HardGenital DermatologyGenital Lichen PlanusSCE Dermatology

A man has chronic painful erosions of the glans and inner prepuce despite repeated antifungal treatment. Biopsy shows basal vacuolar damage, Civatte bodies and a dense band-like lymphocytic infiltrate. What is the diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Erosive genital lichen planus

A lichenoid interface pattern with apoptotic keratinocytes supports lichen planus. Plasma-cell balanitis is dominated by plasma cells, lichen sclerosus by upper-dermal sclerosis, and penile intraepithelial neoplasia by keratinocyte dysplasia.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines