Case 341 Medical history A 52-year-old male patient sought specialized outpatient care complaining of "clear spots" in the face region, which was progressive, with an increase in lesion size, about 2 months ago. He has no comorbidities. At the physical examination, hypochromic spots, sometimes pinkish, of varying size on the face and hypochromic spot associated with leukotriquia in the axillary region, not previously observed by the patient, are evident. Lesions do not show scaling or altered sensitivity. Image 1: Photograph of the face. Collection of Dermatology, Hospital das Clinicas, UFMG.Image 2: Photograph of the left axillary region. Collection of Dermatology, Hospital das Clínicas, UFMG. Question Based on the clinical history and images presented, which diagnosis is most likely? Pityriasis versicolor Vitiligo Seborrheic dermatitis Indeterminate leprosy Test question (SURCE 2015) Patient attends for evaluation of white spots on the skin. There is no pain, itching or any other symptom. You notice hypopigmented lesions in the upper chest (Figure 1). These lesions take on a scaly appearance after traction of the local skin by the examiner (figure 2). Question: Which are the most probable diagnostics? Vitiligo Tinea corporis Lichen simplex chronicus Pityriasis versicolor Time is Up! Time's up
