Cluster 987: potency manifestations psoriasis hydrocortisone arthritis autoimmune patients lichen oral chronicus Cluster 1002: autoimmune requiring trigger recur hypothyroidism vitiligo mellitus psoriasis replacement diabetes Cluster 1011: past years psoriasis vitiligo disease autoimmune graves requiring systemic documented Cluster 1916: dermatitis atopic cohort skin exfoliative epidermis patients disrupts psoriasis subjects Cluster 2049: deteriorate hypo hyperthyroid autoimmune psoriasis vitiligo disease diabetes type requiring