Autoimmune
Skin Disorders
• scleroderma, psoriasis, dermatomyositis,
epidermolysis bullosa, and bullous
pemphigoid. Vitiligo
• Scleroderma. The skin is just one area that is
affected by scleroderma, which is actually a
widespread condition that affects the
connective tissue
• Dermatomyositis. is primarily muscular in
nature, but because dermatomyositis also
affects the skin, it is sometimes categorized
with skin-related autoimmune conditions.
Dermatomyositis goes hand-in-hand with
polymyositis.
• Epidermolysis bullosa.There are many forms
of epidermolysis bullosa, but only one,
epidermolysis bullosa acquisita, is considered
autoimmune in nature.
• All forms of epidermolysis bullosa cause fluid-
filled skin blisters to develop in response to
injuries.
• Bullous pemphigoid. This chronic
autoimmune disorder involves skin blisters
that range in severity.
Vitiligo
Vitiligo is a chronic depigmentation disease that affects the
melanocytes, and the destruction of the melanocytes is the central
pathological event that causes the depigmentation.
can be a component of multiple autoimmune processes such as
thyroid disease, pernicious anemia, rheumatoid arthritis, lupus, adult
onset autoimmune diabetes, and Addison’s disease
Vitiligo is present in 0.5% of the population is distributed equally in
males and females, and the disease starts during the second decade of
life.
Autoimmune depigmentation is expressed clinically as generalized
vitiligo (GV), which is a result of diverse mechanisms involving multiple
genes and environmental factors that are not well determined.
A major gene involved in vitiligo is TYR (encodes tyrosinase), which is
involved in melanin biosynthesis and is the major GV autoantigen.
Mx
1. Corticosteroids
2. calcineurin inhibitors
3. narrow-band UVB or UBA radiation combined
with the administration of oral
photosensitizing molecules such as psoralen.
4. Immunomodulatory therapies being tried
Mx
• Steroids
• Supportive care