A Case of a Rare Skin Manifestation of Celiac Disease | ||
| The Egyptian Journal of Geriatrics and Gerontology | ||
| Article 7, Volume 4, Issue 2, October 2017, Pages 28-29 PDF (724.38 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejgg.2017.5058 | ||
| Author | ||
| Abdul-Rahman SA | ||
| Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||
| Abstract | ||
| Case description: A 67 years old man presented to the cl inic complaining of an i tchy bl istering skin rash over elbows, knees and but tocks for the past 2 months that is not responding to antihistamines. Itching has no diurnal variation. Patient has no chronic comorbidi ties a nd is not on regular medications. On examination, symmet rical vesicular lesions wi th erythema, crusting and i tch marks are seen over both elbows, knees and back wi th -ve Ni c ol s k y ’ s s i gn . G en e ral ex a mi na ti on rev eal s p al l o r, p ati ent B MI 1 7.5 , ab do mi nal di s te ntion, and peripheral neuropathy. Investigations showed microcytic hypochromic anemia wi th HGB 9.8 mg/dl , MCV 68, HCT 29.8, WBCs and platelets are normal . K 3.1mg/dl , Na 135 meq/dl , Ca 8.5mg/dl , albumin 3g/dl . Skin biopsy and di rect immunofluorescence of the skin around the lesions was taken that was diagnosed as dermati tis herpeti formis. Endoscopy was done and i t confi rmed the diagnosis of cel iac disease.Treatment: Patient was advised to fol low a gluten f ree diet plan and dapsone was started at a dose of 1 00 mg/day. Patient rash resolved gradual ly over a period of 3 weeks. | ||
| Keywords | ||
| Dermati tis Herpeti formis; atypical presentation; Cel iac Disease; Gluten Enteropathy | ||
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