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Wouldn't UV light also be contraindicated in Vitiligo?
Phototherapy with photochemotherapy (PUVA) is a well-known and well-studied modality for the treatment of psoriasis, which involves systemic or topical administration of chemicals known as psoralens and administration of ultraviolet light in increasing dosages after requisite time gap. PUVA is also used in the treatment of widespread vitiligo with moderately good results, though it is being surpassed by ultraviolet B (UVB), which is equally or slightly more efficacious with fewer side effects.
Honestly, I didn't even know what Methoxsalen is, just chose the right answer because I know you can not give UV light to people with PCT...
what about tcell lymphoma which also has cutaneous lesions?
this patient isn't actually a physician, they are trying to show that the patient has confabulation (making up stuff but truly believing it)
good point...negative alcohol screening threw me off
Alpha 2 agonists do not cause vasoconstriction b/c they lead to negative feedback of norepi and thus decrease sympathetic response
why is decreasing cAMP wrong?
@sarahs: you want to increase cAMP because it would lead to vasodilation and help to decrease his blood pressure. Decreasing cAMP would make his BP worse.
The only thing I can relate to this is FA P331 " TBG in pregnancy, OCP use (estrogen increases TBG) increases total T3/T4", so here is the opposite situation, which TBG decreases, and total T3/T4 decreases...
Goljan talks about this (around 33 mins into his endocrine lecture) in relation to increased androgens causing decreased TBG
why isnt it maternal antithyroid ABs?
@sarahs I think if it was antithyroid ABs (hashimotos) TSH would be high