Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature review

Detalhes bibliográficos
Autor(a) principal: Sgnaolin, Valéria
Data de Publicação: 2014
Outros Autores: Baldisserotto, Vanessa, Stein, Renato Tetelbom, Epifanio, Matias
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2013.4.15468
Resumo: AIMS: To present a case of dermatitis herpetiformis, a papulovesicular rash due to deposits of immunoglobulin A in the papillary dermis. This is a common extraintestinal manifestation of celiac disease, although rare in childhood. CASE DESCRIPTION: A 10-year-old girl was diagnosed with celiac disease, suspected only due to the occurrence of typical lesions of dermatitis herpetiformis. Intestinal biopsy demonstrated total atrophy of duodenal villi in spite of the lack of clinical digestive manifestations. Under a gluten-free diet the patient presented favorable evolution, with regression of cutaneous lesions. CONCLUSIONS: Dermatitis herpetiformis is a common manifestation of celiac disease, but is not frequent in infants. Therefore, is very important to investigate any child that presents a chronic papulovesicular cutaneous eruption non-responsive to usual treatments in order to perform a precocious diagnosis of celiac disease, avoiding its serious repercussions.
id PUC_RS-25_386bda736db00397392f819217af953a
oai_identifier_str oai:ojs.revistaseletronicas.pucrs.br:article/15468
network_acronym_str PUC_RS-25
network_name_str Scientia Medica (Porto Alegre. Online)
repository_id_str
spelling Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature reviewDermatite herpetiforme como única manifestação de doença celíaca: relato de caso e revisão da literaturaDERMATITIS HERPETIFORMISCELIAC DISEASEGLUTENSCHILD.DERMATITE HERPETIFORMEDOENÇA CELÍACAGLÚTENCRIANÇA.AIMS: To present a case of dermatitis herpetiformis, a papulovesicular rash due to deposits of immunoglobulin A in the papillary dermis. This is a common extraintestinal manifestation of celiac disease, although rare in childhood. CASE DESCRIPTION: A 10-year-old girl was diagnosed with celiac disease, suspected only due to the occurrence of typical lesions of dermatitis herpetiformis. Intestinal biopsy demonstrated total atrophy of duodenal villi in spite of the lack of clinical digestive manifestations. Under a gluten-free diet the patient presented favorable evolution, with regression of cutaneous lesions. CONCLUSIONS: Dermatitis herpetiformis is a common manifestation of celiac disease, but is not frequent in infants. Therefore, is very important to investigate any child that presents a chronic papulovesicular cutaneous eruption non-responsive to usual treatments in order to perform a precocious diagnosis of celiac disease, avoiding its serious repercussions.OBJETIVOS: Apresentar um caso de dermatite herpetiforme, uma erupção cutânea papulovesicular pruriginosa devida ao depósito de imunoglobulina A na derme papilar. Esta é uma manifestação extraintestinal comum da doença celíaca, embora rara na infância. RELATO DE CASO: Uma paciente com 10 anos de idade foi diagnosticada com doença celíaca, cuja suspeita surgiu unicamente em decorrência de lesões típicas de dermatite herpetiforme. A biópsia intestinal demonstrou atrofia total das vilosidades duodenais, apesar da ausência de manifestações clínicas digestivas. Com dieta livre de glúten a paciente apresentou evolução favorável, com regressão das lesões cutâneas. CONCLUSÕES: A dermatite herpetiforme é uma manifestação comum da doença celíaca que, no entanto, é infrequente na infância. Por isso, é fundamental alto grau de suspeição em qualquer criança que apresentar uma erupção cutânea papulovesicular crônica não responsiva a medidas simples, a fim de realizar o diagnóstico precoce da doença celíaca, evitando suas graves repercussões.Editora da PUCRS - ediPUCRS2014-01-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de caso raro ou de especial interesseapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2013.4.1546810.15448/1980-6108.2013.4.15468Scientia Medica; Vol. 23 No. 4 (2013); 250-254Scientia Medica; v. 23 n. 4 (2013); 250-2541980-61081806-556210.15448/1980-6108.2013.4reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2013.4.15468/10902Sgnaolin, ValériaBaldisserotto, VanessaStein, Renato TetelbomEpifanio, Matiasinfo:eu-repo/semantics/openAccess2017-08-28T14:50:13Zoai:ojs.revistaseletronicas.pucrs.br:article/15468Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2017-08-28T14:50:13Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature review
Dermatite herpetiforme como única manifestação de doença celíaca: relato de caso e revisão da literatura
title Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature review
spellingShingle Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature review
Sgnaolin, Valéria
DERMATITIS HERPETIFORMIS
CELIAC DISEASE
GLUTENS
CHILD.
DERMATITE HERPETIFORME
DOENÇA CELÍACA
GLÚTEN
CRIANÇA.
title_short Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature review
title_full Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature review
title_fullStr Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature review
title_full_unstemmed Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature review
title_sort Dermatitis herpetiformis as the only manifestation of celiac disease: case report and literature review
author Sgnaolin, Valéria
author_facet Sgnaolin, Valéria
Baldisserotto, Vanessa
Stein, Renato Tetelbom
Epifanio, Matias
author_role author
author2 Baldisserotto, Vanessa
Stein, Renato Tetelbom
Epifanio, Matias
author2_role author
author
author
dc.contributor.author.fl_str_mv Sgnaolin, Valéria
Baldisserotto, Vanessa
Stein, Renato Tetelbom
Epifanio, Matias
dc.subject.por.fl_str_mv DERMATITIS HERPETIFORMIS
CELIAC DISEASE
GLUTENS
CHILD.
DERMATITE HERPETIFORME
DOENÇA CELÍACA
GLÚTEN
CRIANÇA.
topic DERMATITIS HERPETIFORMIS
CELIAC DISEASE
GLUTENS
CHILD.
DERMATITE HERPETIFORME
DOENÇA CELÍACA
GLÚTEN
CRIANÇA.
description AIMS: To present a case of dermatitis herpetiformis, a papulovesicular rash due to deposits of immunoglobulin A in the papillary dermis. This is a common extraintestinal manifestation of celiac disease, although rare in childhood. CASE DESCRIPTION: A 10-year-old girl was diagnosed with celiac disease, suspected only due to the occurrence of typical lesions of dermatitis herpetiformis. Intestinal biopsy demonstrated total atrophy of duodenal villi in spite of the lack of clinical digestive manifestations. Under a gluten-free diet the patient presented favorable evolution, with regression of cutaneous lesions. CONCLUSIONS: Dermatitis herpetiformis is a common manifestation of celiac disease, but is not frequent in infants. Therefore, is very important to investigate any child that presents a chronic papulovesicular cutaneous eruption non-responsive to usual treatments in order to perform a precocious diagnosis of celiac disease, avoiding its serious repercussions.
publishDate 2014
dc.date.none.fl_str_mv 2014-01-18
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Relato de caso raro ou de especial interesse
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2013.4.15468
10.15448/1980-6108.2013.4.15468
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2013.4.15468
identifier_str_mv 10.15448/1980-6108.2013.4.15468
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2013.4.15468/10902
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 23 No. 4 (2013); 250-254
Scientia Medica; v. 23 n. 4 (2013); 250-254
1980-6108
1806-5562
10.15448/1980-6108.2013.4
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
_version_ 1809101750150365184

Registros relacionados