A., a 14 year old boy, came with his mother to see me, seeking treatment for vitiligo spots on his back, shoulder, and forearms.  He was of average height, medium built, light complexion, pale face, dry skin, and lusterless dry hair.  It was not cold, despite the rain but A. wore a full sleeve, high neck T-shirt, and a jacket, which was puzzling.  As I inquired about it, A. kept silent and looked at his mother.  After a pause, she replied: “Doctor, he is very sensitive to cold and he suffers from repeated infections, such as colds, otitis, and pharyngitis. That’s why we always protect him from draft or cool air.”

D: “Tell me about the complaints.”