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For a patient with vitiligo who is concerned about potential flares, what might you recommend avoiding?
Pearl is a 40-year-old Hispanic female presenting with a history of vitiligo since she was a child. She is unsure of her family history due to being adopted. Her current affected areas are on the back of the hands and around the mouth. She reports that when she has experienced flares in the past, she was prescribed topical steroid creams and calcineurin inhibitors which helped to clear her condition. Pearl states that she is not sure why these flares keep occurring and wants to know what she can do to prevent future outbreaks.
For a patient with vitiligo who is concerned about potential flares, what might you recommend avoiding?