“…Moreover, generalized vitiligo is a component of the APECED (APS type I) and Schmidt (APS type II) multiple autoimmune disease syndromes, and in small studies has been associated with AITD (39,40), pernicious anemia (41,42), Addison's disease (43), and perhaps alopecia areata (44,45). Much larger surveys of vitiligo patients (14,15,(46)(47)(48) have generally found elevated frequencies of AITD, pernicious anemia, rheumatoid arthritis, psoriasis, type 1 diabetes, Addison's disease, and systemic lupus erythematosus; about 15%-25% of patients with generalized vitiligo have at least one additional concomitant autoimmune disorder. Moreover, these same autoimmune diseases also occur with increased prevalence in vitiligo patients' first-degree relatives, regardless of whether or not those relatives have vitiligo themselves (14,15).…”