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Dermatology · Pigmentary disorders: monobenzone
Sample itemFor which situation is monobenzyl ether of hydroquinone (monobenzone) used in vitiligo?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Depigmenting residual normal skin in extensive, refractory vitiligo
Monobenzone 20 percent is used to permanently depigment remaining pigmented skin in patients with extensive vitiligo (typically over half of the body surface) who have failed repigmentation. The result is permanent and the patient must accept lifelong sun protection. It is not used to repigment.
Option by option
A. Treating melasma
It is not a melasma treatment because of risk of permanent depigmentation.
B. Treating tinea versicolor
It has no antifungal role.
C. Depigmenting residual normal skin in extensive, refractory vitiligo (correct)
Correct. Monobenzone permanently depigments remaining skin in extensive vitiligo.
D. Repigmenting small facial patches
It does not repigment patches.
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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