Conversation: The conversation between human and AI assistant.
[|Human|] I am a lupus [patient  and currently my lupus is under control  with very small dosage of Prednisone ( 1 mg.).  I am  also affected with de-pigmentation of skull and few spots on hands and neck.  I am applying strong cortico-steriod cream  for last six months and also Tacrilimus .  The progress on hand is very encouraging. The spots are faded and  toning with natural skin nearly 50% .  However, I suddenly realized my lips from inside looking more pinkish than normal and  feeling very dry all the time.  Is this  vitilio?
[|AI|]  Hi, Thank you for your query. Dear sir, Both SHE and vitiligo are autoimmune diseases, and it is very common to find them in conjunction in same patient. What you describe as puckishness of lips can very well be due to vitiligo. Well I advise consulting a dermatologist for that because without seeing the spots it is very difficult to comment. Plus I advise you get your thyroid functions tested also because many times thyroid dysfunction is also related to these problems to rule out any existing thyroid dysfunction also. Rest you continue with your prescribed treatment. Thank you. Take care. Wish you good health. Chat Doctor.