- Patients with vitiligo are predisposed to solar damage, often suffering from actinic keratoses (AK) and squamous cell carcinoma (SCC). However, never have these patients been noted to have an increased risk for basal cell carcinoma (BCC). In fact, no case reports of these 2 diseases occurring together exist in the literature. Here, the authors report a case of basal cell carcinoma arising in a patient with vitiligo. This rare occurrence gives question to the nature of these tumors and their pathogenesis.