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Vitiligo Part 1 (Teacher: Michael)

One of my patients complained that patches on her neck and upper arms never tan. When I inspected the areas, it almost as if someone spilt white matt paint on her brown skin. Sometimes this common condition is confused with a fungus infection but it is, in fact, only an area of skin bereft of pigment cells which contain melanin - which turns skin brown in sunlight.

The condition is called vitiligo, which "white skin". In the UK, to half a million suffer from this skin problem and of all ethnic backgrounds and ages affected. The commonest sites to this condition on the , neck and . It also occur around body openings such as the , nostrils and genitals and folded skin sites such as armpits and groins. Scars or other areas of injury, including grazes and burns, also afflicted by pigment loss.

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