Childhood dermatitis herpetiformis: an unusual presentation

Woollons, A.; Cr, Darley; Bs, Bhogal; Mm, Black; Dj, Atherton

doi:10.1046/j.1365-2230.1999.00481.x

Cited by 14 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An unusual presentation with nonpruritic inflammatory deep dermal papules and nodules on the buttocks and extensor surfaces and dorsa of the hands of a 7‐year‐old boy was reported by Woollons et al 24 . Isolated lesions were also present on the face and ears.…”

Section: Clinical Featuresmentioning

confidence: 78%

Dermatitis herpetiformis

Nicolas¹,

Krause²,

Gibson³

et al. 2003

Int J Dermatology

View full text Add to dashboard Cite

Section: Clinical Featuresmentioning

confidence: 78%

Dermatitis herpetiformis

Nicolas¹,

Krause²,

Gibson³

et al. 2003

Int J Dermatology

View full text Add to dashboard Cite

“…There is a recent case of a 7-year-old boy with celiac disease who presented with non-pruritic pustules and papules on the buttocks and extensor surfaces. Although these lesions were clinically and histologically consistent with Sweet syndrome, [20] immunofluorescence studies were consistent with dermatitis herpetiformis and he achieved remission with a gluten-free diet and dapsone. Of interest, our patient with Sweet syndrome also improved on a gluten-free diet but his skin lesions were not found to contain IgA deposits during a flare-up of skin lesions.…”

Section: Discussionmentioning

confidence: 88%

Sweet Syndrome Associated with Celiac Disease

Eubank

Nash

Duvic

2009

American Journal of Clinical Dermatology

View full text Add to dashboard Cite

Neutrophilic dermatoses are a spectrum of diseases with varying presentations and similar clinical and histologic features. The association of neutrophilic dermatosis with celiac disease has not previously been described. We report a 43-year-old man with a history of diverticulitis who presented with mildly pruritic, ulcerating pustules of the dorsal hands, face, elbow, and neck, clinico-pathologically consistent with the neutrophilic dermatosis Sweet syndrome. Remission was achieved with prednisone taper, dapsone, and a gluten-free diet.

show abstract

“…Review of the literature revealed no other reports that describe urticarial wheals as the primary clinical feature. Other unusual presentations of childhood DH reported include nonpruritic, deep dermal papules and nodules of the buttocks, hands, and extensor surfaces in a 5‐year‐old child (4), isolated erythematous palmar and plantar plaques (5), and isolated palmar purpura (6).…”

Section: Discussionmentioning

confidence: 99%

Dermatitis Herpetiformis Presenting as Chronic Urticaria

Powell

Bruckner

Weston

2004

Pediatric Dermatology

View full text Add to dashboard Cite

Childhood dermatitis herpetiformis (DH) is an immunobullous disease associated with gluten-sensitive enteropathy. This disease is rare in children and is typically characterized by intensely pruritic vesicles on the extensor surfaces. Definitive diagnosis of DH depends on the direct immunofluorescence finding of granular or fibrillar IgA deposits along the basement membrane zone of biopsied perilesional skin. We report an 11-year-old boy with an unusual presentation of DH characterized by a 7-month history of chronic urticaria-like skin lesions. He had evanescent, largely asymptomatic, urticarial wheals on his trunk, face, and extremities that were unresponsive to conventional therapy for urticaria. Skin biopsy specimen findings were consistent with DH and direct immunofluorescence of perilesional skin was diagnostic. The patient had no symptoms of gluten-sensitive enteropathy at the time of diagnosis, and his skin lesions rapidly cleared with dapsone therapy. This patient serves to highlight an unusual presentation of childhood DH and the need to consider this diagnosis when evaluating chronic urticarial lesions in children.

show abstract

Childhood dermatitis herpetiformis: an unusual presentation

Cited by 14 publications

References 6 publications

Dermatitis herpetiformis

Dermatitis herpetiformis

Sweet Syndrome Associated with Celiac Disease

Dermatitis Herpetiformis Presenting as Chronic Urticaria

Contact Info

Product

Resources

About