“…Furthermore, individuals with the G/G genotype at position +49 show higher proliferation and Studies further excluded (n = 5): Not case-control study (n = 1) Reported duplicated data (n = 2) Not provided relevant data (n = 1) Not focus on the polymorphism of rs231775 (n = 1) 1 contained data on two different groups activation of T cells than the A/A genotype (Kouki et al, 2000;Maurer et al, 2002). Some studies have looked for a possible association between CTLA-4 + 49A/G polymorphism and psoriasis (Hao et al, 2003;Kim et al, 2003;Tsunemi et al, 2003;Luszczek et al, 2008;Fernandez-Mestre et al, 2009;Muto et al, 2011) or vitiligo (Blomhoff et al, 2005;Gao et al, 2005;Tang, 2007;Birlea et al, 2009;Pehlivan et al, 2009;Deeba et al, 2010;Dwivedi et al, 2011), but the findings have been (Hao et al, 2003) which may be the major source of the heterogeneity. b Statistically significant result.…”