Coexistence of Two Autoimmune Diseases: A Case of Colocalized Vitiligo and Psoriasis in One Person

Ariska Silviani, Eyleny Meisyah Fitri, Sammy Yahya, Yari Castiliani Hapsari, Saskia Retno Ayu Hapsari

2019

Abstract

Vitiligo and psoriasis are autoimmune diseases. The occurrence of both diseases in a single patient, especially at the same sites, has been considered unusual. Herein, we report a case of coexisting vitiligo and psoriasis in a patient at the same site. A 40-year-old male visited our Dermatology and Venereology clinic with a history of white patches all over the body for 20 years and red patches with thick, scaly surfaces for three years before admission. Physical examination revealed multiple depigmented macules, lenticular-plaque in size, irregular, circumscribed, discrete-confluent with several erythematous plaques, nummular-plaque in size, irregular, circumscribed, thick silvery-white scaleswith positive Auspitz sign on the top of depigmentedmacules. He was diagnosed with vitiligo Vulgaris and Psoriasis Vulgaris and received systemic therapy, a combination of topical therapy and phototherapy narrowband UVB. The pathogenic mechanism underlying the coexistence of vitiligo and psoriasis has not been fully elucidated. The Koebner phenomenon, genetic, and environmental factors have been postulated to be involved in the development of the two diseases. Comorbid vitiligo and psoriasis is a red flag signaling the need to dig deeper, looking for potentially associated diseases, including cardiovascular, autoimmune, or psychiatric diagnoses.

Paper Citation

in Harvard Style

Silviani A., Fitri E., Yahya S., Hapsari Y. and Hapsari S. (2019). Coexistence of Two Autoimmune Diseases: A Case of Colocalized Vitiligo and Psoriasis in One Person.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 307-311. DOI: 10.5220/0009987503070311

in Bibtex Style

@conference{ictromi19,
author={Ariska Silviani and Eyleny Meisyah Fitri and Sammy Yahya and Yari Castiliani Hapsari and Saskia Retno Ayu Hapsari},
title={Coexistence of Two Autoimmune Diseases: A Case of Colocalized Vitiligo and Psoriasis in One Person},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={307-311},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009987503070311},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Coexistence of Two Autoimmune Diseases: A Case of Colocalized Vitiligo and Psoriasis in One Person
SN - 978-989-758-469-5
AU - Silviani A.
AU - Fitri E.
AU - Yahya S.
AU - Hapsari Y.
AU - Hapsari S.
PY - 2019
SP - 307
EP - 311
DO - 10.5220/0009987503070311