ABSTRACT

You are reviewing patients in the medical outpatient clinic. Your next patient has been referred by his general practitioner with the following letter. Please read the letter and then review the patient.

Dear Doctor,

Re: Mr Peter Gordon

Age: 59 years

Please advise on the management of this chap who is concerned about his tanned appearance. He tells me that he went on holiday last year to Mexico and developed a tan, which has failed to resolve. Normally he finds it quite difficult to get a tan and I’m concerned that there may be an underlying medical problem on which your opinion is appreciated.

Yours sincerely