Abstract:SUMMARY.— The association of vitiligo with organ‐specific autoimmune disorders has been examined with particular reference to pernicious anaemia. A significantly increased incidence of gastric parietal cell antibody was found in serum of sixty‐two patients with vitiligo. There is now sufficient clinical and investigative evidence to suggest that absence of melanocytes from lesions of vitiligo results from immunological disturbance.
“…APCAs were detected in vitiligo patients in rates ranging from 2.5 to 35.4% (table 4) [7,9,10,11,12,23,24,26,27,28,29,30,31,32,33]. We detected an APCA prevalence of 7.8% in our series consistent with the lower estimates from other studies.…”
Section: Discussionsupporting
confidence: 82%
“…The clinical relevance of circulating APCAs in vitiligo patients is debated. Only about half of the papers including a control group showed statistical differences between vitiligo patients and controls (table 4) [7,9,10,12,26,27,29,30,33]. Anemia perniciosa has been described with a prevalence ranging from 2.7 to 8.7% [16,34].…”
Background: Autoimmune comorbidities and circulating autoantibodies have been observed in vitiligo patients, but differences in rate are present according to countries in which the studies were performed, perhaps owing to ethnic diversities or different trigger factors. Objective: To estimate the prevalence of circulating autoantibodies and overt autoimmune diseases in a fairly large sample of Italian vitiligo patients. Methods: 175 outpatients affected by vitiligo and referred to nine dermatological centers were included in the study. Patients were offered routine blood test, serological testing for thyroid function and search for autoantibodies. Results: At least one circulating autoantibody was detected in 61 (41.8%) of 146 subjects who underwent laboratory tests. Anti-thyroperoxidase (25.6%), anti-thyroglobulin (23.4%), antinuclear antibodies (16.8%) and anti-gastric parietal cell antibodies (7.8%) were the most noticed autoantibodies. 74 (41.5%) autoimmune comorbidities, mainly autoimmune thyroiditis (37%), were reported. Conclusion: The prevalence of autoimmune comorbidities and circulating autoantibodies in this study was in agreement with other surveys conducted on Caucasian patients.
“…APCAs were detected in vitiligo patients in rates ranging from 2.5 to 35.4% (table 4) [7,9,10,11,12,23,24,26,27,28,29,30,31,32,33]. We detected an APCA prevalence of 7.8% in our series consistent with the lower estimates from other studies.…”
Section: Discussionsupporting
confidence: 82%
“…The clinical relevance of circulating APCAs in vitiligo patients is debated. Only about half of the papers including a control group showed statistical differences between vitiligo patients and controls (table 4) [7,9,10,12,26,27,29,30,33]. Anemia perniciosa has been described with a prevalence ranging from 2.7 to 8.7% [16,34].…”
Background: Autoimmune comorbidities and circulating autoantibodies have been observed in vitiligo patients, but differences in rate are present according to countries in which the studies were performed, perhaps owing to ethnic diversities or different trigger factors. Objective: To estimate the prevalence of circulating autoantibodies and overt autoimmune diseases in a fairly large sample of Italian vitiligo patients. Methods: 175 outpatients affected by vitiligo and referred to nine dermatological centers were included in the study. Patients were offered routine blood test, serological testing for thyroid function and search for autoantibodies. Results: At least one circulating autoantibody was detected in 61 (41.8%) of 146 subjects who underwent laboratory tests. Anti-thyroperoxidase (25.6%), anti-thyroglobulin (23.4%), antinuclear antibodies (16.8%) and anti-gastric parietal cell antibodies (7.8%) were the most noticed autoantibodies. 74 (41.5%) autoimmune comorbidities, mainly autoimmune thyroiditis (37%), were reported. Conclusion: The prevalence of autoimmune comorbidities and circulating autoantibodies in this study was in agreement with other surveys conducted on Caucasian patients.
“…In the other case reported by Kim et al 6 , the patient was treated with PUVA for the vitiligo lesions and then the psoriasis developed strictly on the vitiligo lesions. From a review of the other literature, 22 of 821 Egyptian patients and 3 of 62 British patients with vitiligo also had psoriasis 7,8 . In Italy, there was an interesting retrospective study of 712 patients with vitiligo 9 .…”
Vitiligo and psoriasis are common dermatoses that occur in 1∼3% and 0.5% of the general population, respectively. There have been several reports of the concurrence of these diseases in the English medical literature. Yet the pathogenesis of the association between these two dermatoses is still unknown. Psoriasis may occur coincidentally with vitiligo and it may be strictly confined to the vitiliginous patches or it may occur elsewhere. Despite the reports in the English literature, there has been only one case of vitiligo and psoriasis coexisting in the same patient and these diseases occurred in separate sites in the Korean dermatologic literature. A 30-year-old man recently presented with spreading vitiligo on the right forearm and a 3-month history of guttate psoriasis on the left forearm. He had a family history of psoriasis without any history of associated autoimmune disease. Herein, we report on a case of coexisting vitiligo and psoriasis in the same individual at different sites and we review the relevant literature.
“…Patients with vitiligo and psoriasis may have the koebner phenomenon [3]. In 1982, Koransky and Roenig described the association of vitiligo and psoriasis to be rare [6,7]. The increased incidence of presumably autoimmune diseases in patients with vitiligo and psoriasis is an evidence of the autoimmune origin of these two conditions [8].…”
The coexistence of psoriasis and vitiligo is rare. We describe a case report of a 58 year old female patient who developed typical psoraiatic plaques covering completely or partly the vitiliginous areas of her skin. Her psoriasis was strictly limited to the vitiliginous patches with no involvement of the normal skin. Strict anatomical coexistence of both diseases is extremely rare and suggests a casual mechanism, possibly due to a koebner phenomenon but genetic and environmental factors may also be involved.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.