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Dermatology · Pigmentary: halo naevus
Sample itemA teenager has a pigmented naevus surrounded by a rim of depigmentation, and the naevus later regresses. What should be examined for?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Vitiligo elsewhere
Halo naevus (Sutton naevus) results from immune attack on melanocytes and is associated with vitiligo in a proportion of patients. Examination of the rest of the skin and, in adults, the scalp for melanoma is advised. Typical halo naevi regress with time.
Option by option
A. Peutz-Jeghers syndrome
Peutz-Jeghers gives mucosal lentigines.
B. Albinism
Albinism is a generalised hypopigmentation disorder.
C. Vitiligo elsewhere (correct)
Correct. Halo naevus is associated with vitiligo.
D. Neurofibromatosis
NF1 gives café-au-lait spots and neurofibromas.
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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