Dermatitis Herpetiformis Presenting as Ataxia in a Child

Dermatitis herpetiformis presenting as ataxia in a child.

Dermatitis herpetiformis and coeliac disease are gluten-sensitive diseases that share immunopathological mechanisms. Neurological disorders are reported in both diseases, being more frequent in coeliac disease. Dermatitis herpetiformis is rare in paediatric populations and only sporadic cases with neurological dysfunction are reported. Uncertainty exists as to whether early treatment may stop o...

Dermatitis herpetiformis presenting as pseudovasculitis

DH: dermatitis herpetiformis DIF: direct immunofluorescence EED: erythema elevatum diutinum INTRODUCTION Dermatitis herpetiformis (DH) is a cutaneous manifestation of gluten intolerance characterized by an intensely pruritic, papulovesicular eruption with a predilection for the extensor extremities, scalp, and buttocks. Because of its variable clinical presentation, DH can be a challenging clin...

Dermatitis herpetiformis presenting as intertriginous dermatitis.

A 54-year old man with atypical dermatitis herpetiformis Duhring lasting about three years is reported. The lesions were located exclusively in the pubic area, groins, inner thighs and perianal regions. Routine histopathology and the direct as well as the indirect immunofluorescence supported the diagnosis. Application of a gluten-free diet and dapsone alleviated the symptoms.

Dermatitis herpetiformis in a treated coeliac child.

Leukocytoclastic vasculitis as the presenting feature of dermatitis herpetiformis.

BACKGROUND Dermatitis herpetiformis is an autoimmune disease typically characterized by pruritic vesicles located on the extensor surfaces. Classic disease consists of neutrophils in the dermal papillae. Additional histopathologic findings include fibrin deposition and edema within the dermal papillae. Subepidermal vesicles also may be present. Direct immunofluorescence demonstrates granular Ig...