Kosmetische Medizin 2-2010: 68 – 72

Psoriasis co-existing with vitiligo and a female patient with human immune
deficiency virus infection

A. O. OGUNBIYI, P. U. IBEKWE, G. O. OGUN

KEY WORDS: Psoriasis, vitiligo co-localization HIV infection; West Africa, psoriasis, vitiligo, HIV

SUMMARY:
Vitiligo is commonly seen in the skin clinic in Nigerians. Psoriasis is however uncommon in West Africans. Coexistence of psoriasis and vitiligo in patients has been reported previously in other races but there is virtually no report of the coexistence of both conditions in West Africa and would be considered rare. This may be due to low prevalence of psoriasis in West Africans. We present a case of a Nigerian girl with human immunodeficiency virus (HIV) infection who developed extensive vitiligo and later developed psoriatic lesions restricted to existing patches of Vitiligo. We feel both conditions may have resulted from the HIV infection. The restriction of the psoriatic lesions to the vitiliginous patches is most likely due to Koebner’s phenomenon. As far as we know this is the first report of such an association in West Africa and the occurrence of both conditions with HIV infection.