Nishida W, Mukai M, Sumimoto T, Hamada M, Hiwada K
Second Department of Internal Medicine, Ehime University School of Medicine, Japan.
Jpn J Med. 1990 Jan-Feb;29(1):66-70. doi: 10.2169/internalmedicine1962.29.66.
A 48-year-old female patient with vitiligo developed primary hypothyroidism and hypoacusis. The signs and symptoms of hypothyroidism improved with thyroid hormone replacement therapy but hypoacusis did not. The coexistence of vitiligo and thyroid disease is uncommon and the additional association of hypoacusis is very rare. There may be a common autoimmune pathogenesis for the three disorders. Vitiligo may be a diagnostically useful sign which suggests the presence of multiple autoimmune diseases.
