<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 14-year-old boy comes to the physician because of multiple patches on his trunk and thighs that are lighter than the rest of his skin. He also has similar depigmented lesions on his hands and feet and around the mouth. The patches have gradually increased in size over the past 2 years and are not associated with itchiness, redness, numbness, or pain. His family emigrated from Indonesia 8 years ago. An image of the skin lesions is shown. What is the most likely cause of this patients skin findings?? A: Malassezia globosa infection, B: Autoimmune melanocyte destruction, C: Increased mTOR signalling, D: Mycobacterum leprae infection, E: Postinflammatory depigmentationn,  <response>: Based on the description, this patient has depigmented skin lesions that have gradually increased over 2 years. The distribution on the trunk, thighs, hands, feet, and around the mouth indicates a systemic process rather than a localized skin condition. The lack of itchiness, redness, numbness or pain makes inflammatoryinfectious causes less likely. The patients ethnicity and the clinical presentation are classic for vitiligo, an autoimmune destruction of melanocytes. B: Autoimmune melanocyte destruction 