COEXISTENCE OF PEMPHIGUS VULGARIS AND VITILIGO VULGARIS IN A PATIENT OF CHRONIC LIVER DISEASE- A POINTER TOWARDS COMMON AUTOIMMUNE AETIOLOGY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 54
Abstract
A 56-year-old gentleman with stable vitiligo vulgaris for the past 20 years presented with flaccid vesicles and raw, painful erosions on various parts of body. These lesions erupted on and off for the past 2 years and healed with postinflammatory hyperpigmentation. Current exacerbation of the symptoms and erosions in oral cavity was present for the past 1 month. Patient noticed that these fluid-filled lesions arose only on the pre-existing white patches on skin. There was no history suggestive of any underlying connective tissue disorder. He was on homeopathic treatment for vitiligo for the past 20 years and was also being treated for diabetes for the past 5 years. The patient was recently diagnosed with chronic liver disease (HCV related viral load of 3,41,700 IU/mL) along with portal hypertension with grade III oesophageal varices. He was on ribavirin for the same for the past 2 months.
Authors and Affiliations
Niharika Jha, Bimal Kanish, Abhilasha Williams
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