title: Vitiligo and pernicious anemia presenting as congestive heart failure.
abstract: The skin often provides diagnostic clues to systemic disorders. Vitiligo is an acquired disease characterized by depigmentation of the skin due to destruction of melanocytes. Vitiligo may be an autoimmune disease and is associated with other disorders that may also arise due to autoimmune mechanisms. We present the unusual case of vitiligo associated with pernicious anemia in a patient who presented to the hospital because of hyperdynamic congestive heart failure.
authors.affiliation: Department of Medicine, Nashoba Community Hospital, Ayer, Massachusetts.
authors.forename: J L
authors.initials: JL
authors.lastname: Held
authors.forename: S R
authors.initials: SR
authors.lastname: Kohn
mesh_terms: D000328:Adult; D000752:Anemia, Pernicious / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D001581:Benzothiadiazines; D004077:Digoxin / Q000627:therapeutic use; D004232:Diuretics; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D049993:Sodium Chloride Symporter Inhibitors / Q000627:therapeutic use; D014805:Vitamin B 12 / Q000627:therapeutic use; D014820:Vitiligo / Q000150:complications* / Q000175:diagnosis
chemical_list: D001581:Benzothiadiazines; D004232:Diuretics; D049993:Sodium Chloride Symporter Inhibitors; D004077:Digoxin; D014805:Vitamin B 12