corticosteroids inhaled topical steroids systemic prednisone immunosuppressive mg doses daily 
autoimmune disease active history systemic past requiring suspected vitiligo immunosuppressive 
autoimmune requiring psoriasis vitiligo diabetes recur hypothyroidism trigger type mellitus 
disease inflammatory bowel colitis autoimmune ulcerative history arthritis systemic lupus 
replacement systemic modifying thyroxine pituitary disease autoimmune insulin physiologic adrenal