Vitiligo – Board-Style Questions

What this deck covers

Vitiligo in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Milk white and sharply cut
2. All on one side
3. Pale but not white
4. Under the lamp
5. A ring around a mole
6. Where the skin was hurt
7. What to ask at review
8. White hairs in the patch
9. White since birth
10. Treating the face
11. When it is everywhere
12. The first specks
13. The stubborn sites
14. Evening it out
15. What happens next
16. At school
17. Knowing when to stop
18. Before any operation

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Post-inflammatory pale marks after a rash, A band-like pattern that stabilises early, Early vitiligo before pigment is fully lost, Green fluorescence of infected hair shafts, A mole with a ring of lost pigment, That the wound has become infected, Headache, blurring of vision and neck pain, That the patch will repigment quickly, Piebaldism, present from the day of birth, A very potent steroid ointment applied twice daily, Removal of the affected skin by surgery, Freckling caused by the treatment itself, Those sites have few hair follicles to draw on, Restarting the light treatment for a further year.

Clinical pearls from this deck

• Chalk white, sharp edged, no scale: that is vitiligo.
• One side, stops at the midline, then stops: band form.
• Faint, scaly and blurred at the edge: pityriasis alba.
• Absent pigment glows chalk white with a sharp border.
• Even white ring round an unchanged mole: a halo naevus.
• Patches at grazes and straps mean the disease is active.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all dermatology case decks · pediatric reference values.