Atlas of Ophthalmology

vitiligo

vitiligo
Vitiligo can present in the periocular area in classic conditions sucha as Vogt-Koyt-Harada syndrome (VKH), which can be present in up to 60% of these patients according to Sugiura (1978). However, vitiligo can be seen associated with sympathetic ophthalmalmia, and other forms of uveitis. Albert et al (1979) found an increased incidence of periocular vitiligo in patients with thyroid disease. Mandry et al (1996) found a higher incidence in patients with diabetes, multiple myeloma, mucosis fungoides. Also according to Albert et al (1979) less than 5% of vitiligo clinic patients have VKH. The fundus can be also depigmented and poliosis can be present in patients with poliosis and VKH. In this case this patient has diabetes without diabetic retinopathy, and she lacks alopecia, retinal edema or history of retinal detachments. An incidental finding was that she also has bilateral asteroid hyalosis, also more common in patients with diabetes. The patient also has vitiligo in other parts of her body.
Luviano, Damien, M.D., Joslin Diabetes Center Affiliate SETMA, Beaumont, United States; Loupe, Brandon, , Harmony Science Academy, Beaumont, United States; Morvant, Kenneth T, , Harmony Science Academy, Beaumont, United States
H67.1, H30.8
Lids -> Systemic Diseases
depigmentation
8683
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