Minutus

Dear Jan, can I ask a few more questions re: your case.

Not in any specific order but...

the vitiligo obviously began before she started taking the pill - did the
constipation or any other sx develop since then

where on the face is the vitiligo

is there any sense of haughtiness about her

is she impatient or calm

how did she sit during the consultation, restless, nervy, arms crossed etc

what are her confidence levels like, is she ambitious or not

what is her temper like and how would she respond to a confrontation

she has some suspicions and fears but how is generally in company, does she
prefer to be alone

any jealousy

what is her intellectual capacity like

any dreams or relevant sleep patterns

overall did she present as gloomy, optimistic, anxious, etc?

Plus, I also think it useful to grade symptoms to get an idea of their
importance. Which would you say were the most characteristic symptoms here.

I know you said there is no cause known for this sudden appearance of
vitiligo, but I tend to think that there is bound to be one. Did you discern
any hint of a possible cause.

I hope you can say a bit more, if you think it worthwhile.

Best wishes, Joy Lucas

Hi Joy and Trudy and others who responded,

Thank you very much for your interesting input and related questions.
Yes of course I think it's worthwhile to answer them.
Some of the question I can answer now, but others I have to check with the
person herself.
So I will address them all at once.
I hope I can sent you an update tomorrow.

Jan