Dear friends and colleagues, Passing the MRCP UK is an important step in the medical career. PACES is the practical clinical exam and require a wide breadth of knowledge. This blog is a space to share materials, information and knowledge and I hope you find it useful. Am open for any ideas or suggestion and would value your contributions and comments.
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Best wishes, Dr Elmuhtady Said
Symmetrical patches of hypopigmentated skin lesion consistent of vitiligo. I would like to examine her palmar creases and buccal mucosa for hyperpigmentation secondary to associated autoimmune addison's disease, examine for conjuctiva pallor and angular stomatitis for signs of anaemia which could be secondary to pernicious anaemia, dipstick her urine for glucose and perform random glucose level for diabetes mellitus, examine her thyroid glad and thyroid status for signs of hypo/hyperthyroidism as well as performing a TFT level. The diagnosis is vitiligo which could be associated with underlying autoimmune conditions. Treatment for vitiligo include sunblock cream and long sleeve shirt to prevent area of sunburn on the vitiligo.
symetrically destributed hypopegmented patches.
ReplyDeleteassociated with organ-specific autoimmune condition:
1-Graves disease
2-pernicious anaemia
3-diabetes
4-addison's disease
tx
ReplyDeletecosmetic make up and sunscreen
topical steroids
PUVA
Symmetrical patches of hypopigmentated skin lesion consistent of vitiligo. I would like to examine her palmar creases and buccal mucosa for hyperpigmentation secondary to associated autoimmune addison's disease, examine for conjuctiva pallor and angular stomatitis for signs of anaemia which could be secondary to pernicious anaemia, dipstick her urine for glucose and perform random glucose level for diabetes mellitus, examine her thyroid glad and thyroid status for signs of hypo/hyperthyroidism as well as performing a TFT level. The diagnosis is vitiligo which could be associated with underlying autoimmune conditions. Treatment for vitiligo include sunblock cream and long sleeve shirt to prevent area of sunburn on the vitiligo.
ReplyDelete