California Cosmetology Written ExamClient Consultation and AnalysisMedium
During a scalp and skin analysis, a cosmetologist notices patches of skin on a client's hands and around the hairline that have lost their normal pigment, appearing milky-white, with no redness, scaling, or itching present. What is the most appropriate action?
- AProceed with the requested service since this condition, likely vitiligo, is not contagious
- BRefuse all services because the condition is highly contagious
- CImmediately send the client to the emergency room
- DApply a strong exfoliating treatment to restore pigment to the affected areas
Show answer & explanationAnswer & explanation
Correct answer: A. Proceed with the requested service since this condition, likely vitiligo, is not contagious
Vitiligo is a non-contagious skin disorder caused by the loss of melanocytes, resulting in depigmented white patches. Because it poses no risk of transmission and is not a lesion or infection, the cosmetologist may proceed with the service as normal.
Why the other options are wrong
- B. Vitiligo is not contagious, so refusal on that basis is incorrect.
- C. Vitiligo is not a medical emergency and does not require emergency care.
- D. Exfoliating treatments will not restore melanocyte function and could irritate the skin.
Vitiligo
A non-contagious skin disorder caused by loss of melanocytes, producing white, depigmented patches on the skin.
- Not contagious, safe to service
- Caused by loss of pigment-producing melanocytes
- Patches may appear on hands, face, or hairline
Memory trick: VitiligO = 'O' for outline of white patches, safe to service.