The patches with no scale
A 24-year-old notices spreading milk-white patches on the backs of the hands and around the mouth over six months.
Presentationstep 1 of 7
Exam · Describe · Investigations · Diagnosis · Management · Debrief
Presentation
Presentation
A 24-year-old presents with six months of progressive white patches on the backs of both hands and around the mouth. There has been no itch, redness or scale at any stage.