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Dermatology · Pigment disorders
Sample itemWhich feature favors melasma rather than vitiligo?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Symmetric brown facial patches worsened by sunlight
Melasma usually presents as symmetric hyperpigmented facial patches and often becomes more apparent with ultraviolet exposure.
Option by option
A. Purulent nodules in the axilla
Purulent axillary nodules suggest a different inflammatory disorder.
B. Painful dermatomal vesicles
Dermatomal vesicles suggest herpes zoster.
C. Symmetric brown facial patches worsened by sunlight (correct)
Correct: sun-sensitive brown facial pigmentation is typical.
D. Chalk-white patches with no pigment
Depigmented white patches suggest vitiligo.
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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