DermAtlas: Dermatology Image Dermatitis_Herpetiformis_4_030330 (dermatitis herpetiformis - vesiculobullous eruptions, immunobullous) [dermatlas]

Dermatology - HAND: dermatitis herpetiformis

Image Name:

Dermatitis_Herpetiformis_4_030330

File Type:

jpg

Diagnosis:

DERMATITIS HERPETIFORMIS

Category:

vesiculobullous eruptions, immunobullous

Morphology:

vesiculobullous (blister, pustule)

Organization:

grouped, clustered

Pattern:

symmetric / generalized, disseminated

Color:

red

Body Site:

hand / palm

Age:

45 years

Gender:

female

Image Year:

2003

Contributor:

Shahbaz A. Janjua, MD

First Published:

March 28, 2003

Description:

symmetric, herpetiform, erythematous papules and vesicles

Comments:

This 45-year-old woman developed a symmetric,herpetiform, erythematous, papulovesicular eruption associated with intense itching and burning around her elbows that rapidly spread to invove the extensor surfaces of her extremities, buttocks, shoulders and posterior scalp and neck. Before seeking treatment, the eruption disseminated to the flexural sufaces of the extremities and her palms and soles. She also complained of bloating and diarrehea. A skin biopsy showed changes typical of dermatitis herpetiformis. Her skin lesions and gastrointestinal symptoms resolved within 48 hours of initiating therapy with oral dapsone 50 mg twice daily. She was also started a gluten free diet.

Related Links:

Dermatologic Disease Database (dermatitis herpetiformis)

Related Images:

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Other Resources:

PubMed: dermatitis herpetiformis

OMIM: dermatitis herpetiformis

MedlinePlus: dermatitis herpetiformis

Archives of Dermatology: dermatitis herpetiformis

eMedicine: dermatitis herpetiformis