Topical Steroids for Oral Lesions — NDEB AFK MCQ
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Correct answer: D — Erosive oral lichen planus
Topical corticosteroids are the first-line treatment for symptomatic erosive/atrophic oral lichen planus, pemphigoid, pemphigus (mild cases), and other immune-mediated mucosal diseases. Fluocinonide 0.05% gel or clobetasol 0.05% gel applied to the lesions 2-3 times daily for 2-4 weeks reduces inflammation, pain, and promotes epithelial healing. Patients using intraoral topical steroids should be monitored for secondary oral candidiasis, which may require concurrent antifungal treatment.
Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016