The aim of this communication is to discuss some aspects of the classification of juvenile dermatitis herpetiformis on the basis of a case report.
CASE REPORTA 6-year-old boy was sent for consultation to our clinic with a history of bullae on the scalp, on the face, around the nose, behind the ears, followed by lesions on the scrotum and in the inguinal regions. His health was not impaired, and apparently the lesions were not pruritic.On first examination no bullae could be detected on the skin. However, a fortnight later a group of bullae developed on the left side of the scrotum and in the left inguinal region. Some days later a few bullae appeared around the nasal orifices and on the upper lip, followed by a few solitary bullae on the trunk and extremities. All bullae appeared on normal skin or on a slightly erythematous base; their mean diameter was 0-5-1 cm. The patient received no treatment at the time of investigation. Later he was treated with sulphapyridine with satisfactory results.
Laboratory resultsESR 12 mm in i h; Hb 6,8 mmol/1; WBC 6500; eosinophils 3%; red blood cells, mild hypochromia. Haptoglobin, normal. Total serum proteins, normal. Serum electrophoresis, normal. Immunoelectrophoresis, IgA slightly decreased. Urine: no albumin sugar, or abnormal deposits. Faeces: normal colour and consistency. Glucose tolerance curve, normal.