Quiz time! What’s causing the discoloration around the eyes?

A 37-year-old man visited his doctor about a discoloration that developed around his eyes over the past 2 weeks. There was no preceding rash, and the areas were neither painful nor itchy. The patient had a history of hypothyroidism. On examination, white macules and patches were seen on the periorbital skin.

What’s the diagnosis?

A)     Drug-induced pigmentation

B)     Periorificial dermatitis

C)     Postinflammatory hypopigmentation

D)     Vitiligo

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