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Which one of the following is considered an adverse prognostic indicator in cases of vitiligo? A. Depigmentation of the hair shaft (leukotrichia) B. Younger age
C. Facial lesions
D. Darker skin types #Week9_MCQ5
Case 1 â Keegan
Keegan, aged 85 years, is a patient who was seen by a colleague at your practice a few weeks ago for dystrophic toenail changes. The fungal microscopy and culture were both negative. Keegan has had onychomycosis several times before and has no red flag features pointing to another systemic diagnosis. His nail changes seem consistent with another episode of onychomycosis. Keegan tells you he has tried some topical nail therapies with no benefit.
Question 1
Which one of the following would be your next step in management?
A. Refer Keegan to a dermatologist.
B. Advise Keegan that the negative microscopy and culture
results mean he does not need treatment this time. C. Start methotrexate as Keegan may have psoriasis. D. Take further nail samples a few weeks apart before commencing treatment. #Week9_MCQ1
The following parameters are associated with better treatment outcomes:
⢠shorter duration of disease ⢠darker skin types ⢠lesions on the face,neck and trunk;these respond better than those on the distal extremities and those involving the mucosa. #Vitiligo_Better_Outcomes_Parameters
