PALMAR PURPURA - AN ATYPICAL PRESENTATION OF CHILDHOOD DERMATITIS-HERPETIFORMIS

被引:18
作者
MCGOVERN, TW
BENNION, SD
机构
[1] Dermatology Service, Fitzsimons Army Medical Center, Aurora, Colorado
关键词
D O I
10.1111/j.1525-1470.1994.tb00096.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Dermatitis herpetiformis (DH) is seen most commonly as a pruritic, papulovesicular eruption in young children or adolescents. Differentiation from other bullous diseases of childhood may be difficult. We report the first case of an adolescent in whom pruritic, palmar, purpuric macules and papules were the only manifestations of DH. The patient later developed typical vesiculobullous extensor lesions and symptomatic gluten-sensitive enteropathy (GSE). All lesions and GSE symptoms resolved with dapsone and a gluten-free diet. Our purpose is to illustrate an unusual presentation of pediatric DH.
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页码:319 / 322
页数:4
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  • [1] Pierce DK, Purcell SM, Spielvogel RL, Bergquist E., Purpuric papules and vesicles of the palms in dermititis herpetiformis, 6, pp. 1274-1276, (1987)
  • [2] Rabinowitz LG, Esterly NB., Inflammatory bullous diseases in children, Dermatol Clin, 3, pp. 565-581, (1993)
  • [3] Fraser NG, Beck JS, Albert-Recht F., Serum complement (C'3) and immunoglobulin levels in dermatitis herpetiformis, Br J Dermatol, 85, pp. 314-319, (1971)
  • [4] Karpati S, Torok E, Kosnai I., Discrete palmar and plantar symptoms in children with dermatitis herpetiformis Duhring, Cutis, 37, pp. 184-187, (1986)
  • [5] Marks R, Wilson Jones E., Purpura in herpetiformis, Br J Dennatol, 84, pp. 386-388, (1971)
  • [6] Moulin G, Barrut D, Franc M-P, Viorney P, Knezynski S., Localisations palmaires pseudo‐purpuriques de la dermatite herpetiforme, Ann Dermatol Venereol, 110, pp. 121-126, (1983)
  • [7] Duhring LA., Dermatitis herpetiformis, JAMA, 3, (1884)
  • [8] Younus J, Ahmed AR., Clinical features of dermatitis herpetiformis, Clin Dermatol, 9, pp. 279-281, (1992)
  • [9] Ermacora E, Prampoline L, Tribbia G, Et al., Long term follow up of dermatitis herpetiformis in children, J Am Acad Dermatol, 15, pp. 24-30, (1986)
  • [10] Safai B, Rappaport I, Matsuoka L, Sogn D, Haines K, Lewin M., Childhood dermatitis herpetiformis: review of the new aspects and report of a case, J Am Acad Dermatol, 4, pp. 435-441, (1981)