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  #1  
Old 07-01-2011
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Skin Hands picture question

A 30 year old man is referred to your office by her dermatologist for further evaluation. She developed these changes gradually in the last year. Her hands are seen in the image below. What associated disease is most likely?

Hands picture question-vitiligo-hands.jpg
click image to enlarge

A. AIDS
B. Addison's disease
C. Lymphoma
D. Primary biliary cirrhosis
E. Hashimoto's thyroiditis
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  #2  
Old 07-01-2011
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B. Addison's disease
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Old 07-01-2011
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It looks like vitiligo and i am not sure in which of these u find that...addisons have hyperpigmentation not hypo..what is the answer and why? plz
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Old 07-01-2011
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it is vitiligo an auto immune disease associated with other autoimmune diseases (more often thyroid )

so my answer is hashimoto
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Old 07-01-2011
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vitiligo is autoimmune disease
so E. Hashimoto's thyroiditis is autoimmune disease too
and B. Addison's disease is autoimmune disease
and D. Primary biliary cirrhosis is autoimmune disease also
so the three answer r right
from where this not specific q ????
in uw there is similar q about vitiligo and the answer was pernicious anemia
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Old 07-02-2011
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Answer is E. Hashimoto's disease. Up to 30% of acquired vitiligo are associated with thyroid disease, especially Hashimoto's thyroiditis. It may also occur in pernicious anemia, diabetes and other autoimmune diseases but to a lesser percentage.
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Old 07-03-2011
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Quote:
Originally Posted by aksyonez View Post
Answer is E. Hashimoto's disease. Up to 30% of acquired vitiligo are associated with thyroid disease, especially Hashimoto's thyroiditis. It may also occur in pernicious anemia, diabetes and other autoimmune diseases but to a lesser percentage.
Good one!

Do you have any percentage for others like pernicious anaemia-vitiligo etc.?
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Old 07-05-2011
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Sorry 1TA2B, i don't.
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