An 18-year-old female presents to you with a hypopigmented patch on the medial aspect foot with feathery margin. The rest of the physical examination is normal. Which of the following drug should not be used in the treatment of this patient?
A. Topical tacrolimus
Ans: C. Isotretinoin
(Ref Fitzpatrick 7/c p624-625, Rooks 8/e p58.39-58.51: Harrison 19/e p.do -359,18/e p409-412)
- In the given picture, patient is having localized vitiligo.
- Isotretinoin is used in management of acne and it should always he avoided in a young female because of teratogenic potential.
Drugs used in treatment of Vitiligo:
- Topical clobetasol is a topical steroid
- Topical tacrolimus is an immunosuppressant
- Topical methoxasalen is a psoralen