What is the most likely underlying cause of these clinical

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Question: A 25 year old female patient presents to the clinic with complaints of unintentional weight loss and ongoing fatigue. The patient states that she has been feeling very weak for the past few months. Clinical exam is significant for patchy areas of skin which seem to have increased pigmentation and areas of skin which seem to have lost pigmentation. Vitals are significant for hypotension. Based on this description, what is the most likely underlying cause of these clinical manifestations?

Reference no: EM133780445

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