Dermatitis Herpetiformis Presenting as Digital Petechiae

Heinlin, Julia and Knoppke, Birgit and Kohl, Elisabeth and Landthaler, Michael and Karrer, Sigrid (2012) Dermatitis Herpetiformis Presenting as Digital Petechiae. PEDIATRIC DERMATOLOGY, 29 (2). pp. 209-212. ISSN 0736-8046,

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Abstract

We present a 15-year-old female patient with a 6-month history of recurrent painful petechiae on the fingers and feet. Trauma or pressure were denied, but she reported recurrent tonsillitis and urinary tract infections and a single event of bilateral scotoma. Extensive investigations (e.g., echocardiography) for a suspected diagnosis of septic emboli were unremarkable. Routine histopathology, direct and indirect immunofluorescence, and esophagogastroduodenoscopy led to the diagnosis of dermatitis herpetiformis. The therapeutic strategy comprised gluten-free diet and dapsone to alleviate the symptoms. Dermatitis herpetiformis should be included in the differential diagnosis of palmar or plantar petechiae, especially when occurring in children or young adults.

Item Type: Article
Uncontrolled Keywords: CELIAC-DISEASE; PURPURA; PALMAR; SKIN;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Dermatologie und Venerologie
Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 19 May 2020 04:24
Last Modified: 19 May 2020 04:24
URI: https://pred.uni-regensburg.de/id/eprint/19122

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