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Dermatology · Papulosquamous disorders
Sample itemWickham's striae are seen in which condition?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Lichen planus
Lichen planus presents with pruritic, purple, polygonal, flat-topped papules, often on the wrists and ankles, with fine white lines on the surface (Wickham's striae) and white lacy lesions in the mouth.
Option by option
A. Pityriasis versicolor
Pityriasis versicolor shows fine scaling patches caused by Malassezia.
B. Psoriasis
Psoriasis shows silvery scale and Auspitz sign.
C. Vitiligo
Vitiligo shows depigmented patches without scaling.
D. Lichen planus (correct)
Correct. These white lines are characteristic of lichen planus.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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