{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T05:05:10Z","timestamp":1789275910578,"version":"build-2803163510"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p>There have been rare published cases of discoid lupus erythematosus (DLE) with other autoimmune cutaneous and systemic disorders. We describe a 36 years old female patient with DLE lesions on the face and hands with coexistence of lip-tip vitiligo and hypothyroidism. We discuss how the treatment has to be modified and innovative in the presence of these three coexisting autoimmune disorders and how the dermatologist should do this to get a successful outcome.<\/jats:p>","DOI":"10.4103\/2229-5178.110636","type":"journal-article","created":{"date-parts":[[2013,4,17]],"date-time":"2013-04-17T02:55:08Z","timestamp":1366167308000},"page":"112-114","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Coexistence of lip-tip vitiligo and disseminated discoid lupus erythematosus with hypothyroidism: Need for careful therapeutic approach"],"prefix":"10.4103","volume":"4","author":[{"given":"Sudhanshu","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Dermatology and Venereology, Maulana Azad Medical College and L. N. J. P. Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmi","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, Maulana Azad Medical College and L. N. J. P. Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay Kumar","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, Maulana Azad Medical College and L. N. J. P. Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suchi","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, Maulana Azad Medical College and L. N. J. P. Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260327","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1111\/j.1365-4362.1984.tb04512.x","article-title":"Discoid lupus erythematosus in a patient with vitiligo and autoimmune thyroiditis","volume":"23","author":"Callen","year":"1984","journal-title":"Int J Dermatol"},{"key":"R2-20260327","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1034\/j.1600-0749.2003.00032.x","article-title":"Epidemiology of vitiligo and associated autoimmune diseases in Caucasian probands and their families","volume":"16","author":"Alkhateeb","year":"2003","journal-title":"Pigment Cell Res"},{"key":"R3-20260327","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1136\/ard.61.1.70","article-title":"Autoimmune thyroid disease in systemic lupus erythematosus","volume":"61","author":"Pyne","year":"2002","journal-title":"Ann Rheum Dis"},{"key":"R4-20260327","first-page":"33","article-title":"Association of lupus erythematosus and vitiligo","volume":"108","author":"Forestier","year":"1981","journal-title":"Ann Dermatol Venereol"},{"key":"R5-20260327","first-page":"91","article-title":"Symmetrical lupus erythematosus on vitiligo of the hands","volume":"68","author":"Temime","year":"1961","journal-title":"Bull Soc Fr Dermatol Syphiligr"},{"key":"R6-20260327","first-page":"111","article-title":"Development of discoid lupus erythematosus in vitiligo","volume":"16","author":"Chowdhury","year":"1968","journal-title":"Bull Calcutta Sch Trop Med"},{"key":"R8-20260327","first-page":"115","article-title":"Alopecia areata and discoid lupus erythematosus in a patient with vitiligo","volume":"52","author":"Pavithran","year":"1986","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R9-20260327","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1046\/j.1439-0507.2000.00573.x","article-title":"Case report: Chronic dermatophyte infection in a patient with vitiligo and discoid lupus erythematosus","volume":"43","author":"Khosravi","year":"2000","journal-title":"Mycoses"},{"key":"R10-20260327","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1111\/j.1346-8138.2006.00235.x","article-title":"Vitiligo associated with malignant melanoma and lupus erythematosus","volume":"34","author":"G\u00fcl","year":"2007","journal-title":"J Dermatol"},{"key":"R11-20260327","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1056\/NEJMoa061592","article-title":"NALP1 in vitiligo-associated multiple autoimmune disease","volume":"356","author":"Jin","year":"2007","journal-title":"N Engl J Med"},{"key":"R12-20260327","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1086\/324470","article-title":"Evidence for a susceptibility gene, SLEV1, on chromosome 17p13 in families with vitiligo-related systemic lupus erythematosus","volume":"69","author":"Nath","year":"2001","journal-title":"Am J Hum Genet"}],"container-title":["Indian Dermatology Online Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01630814-201304020-00009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:53:16Z","timestamp":1786647196000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01630814-201304020-00009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.4103\/2229-5178.110636","relation":{},"ISSN":["2229-5178","2249-5673"],"issn-type":[{"value":"2229-5178","type":"print"},{"value":"2249-5673","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4]]}}}