Ertaş Ragıp, Özyurt Kemal, Avcı Atıl, Ketenci Ertas Sule, Atasoy Mustafa
Dermatology Department, Kayseri Training and Research Hospital, Kayseri, 38050, Turkey.
Department of Rheumatology, Erciyes University Faculty of Medicine, Kayseri, 38039, Turkey.
F1000Res. 2017 Mar 23;6:310. doi: 10.12688/f1000research.11025.1. eCollection 2017.
Recently, a few case reports and clinical studies have been published that explore the association of Behçet's Disease (BD) and vitiligo, with conflicting results. Genetic and immunological properties of BD and presence of autoantibodies support autoimmunity, but clinical features suggest autoinflammatory diseases. BD is thought to be a cornerstone between autoimmune and autoinflammatory diseases. On the other hand, vitiligo has been accepted as an autoimmune disease with associations of other autoimmune disorders and there is a possible role of autoimmunity in pathogenesis of the disease. Significant advances have been made understanding the pathogenesis and genetics of BD. However, it is worth presenting rare clinical variants for improving the clinical understanding of BD. Herein, we are presenting a case with diagnosis of both Behçet's disease and vitiligo in same patient, which is a rare occurrence. Discussion and demonstrating the association of these two diseases may give rise to understanding similar and different aspects of autoimmunity and autoinflammatory pathogenesis of both diseases.
最近,已经发表了一些病例报告和临床研究,探讨白塞病(BD)与白癜风之间的关联,结果相互矛盾。BD的遗传和免疫学特性以及自身抗体的存在支持自身免疫,但临床特征提示为自身炎症性疾病。BD被认为是自身免疫性疾病和自身炎症性疾病之间的一个基石。另一方面,白癜风已被公认为一种自身免疫性疾病,与其他自身免疫性疾病有关联,并且自身免疫在该疾病的发病机制中可能起作用。在理解BD的发病机制和遗传学方面已经取得了重大进展。然而,为了提高对BD的临床认识,展示罕见的临床变异情况是值得的。在此,我们报告一例同一患者同时诊断为白塞病和白癜风的病例,这种情况很罕见。讨论并证明这两种疾病的关联可能有助于理解这两种疾病自身免疫和自身炎症发病机制的异同。