Dermatitis Herpetiformis - DermAtlas - Dermatology Image Atlas

Contributor

Bernard Cohen, MD

Diagnosis

dermatitis herpetiformis

Body Site

arm abdomen

Age

24 years

Pigmentation

light

Organization

grouped, clustered discrete

Color

red

Morphology

vesiculobullous (blister, pustule)

Pattern

acral (centripetal - extremity predominant) generalized, disseminated symmetric

Comments

This heatlhy 24-year-old man developed an itchy vesicular eruption on the extensor surfaces of his arms and legs and buttocks, hips, and lower abdomen a year ago. Skin biopsy demonstrated a subepidermal inflammatory vesicles concentrated at the dermal papillae with neutrophils. Immunofluorescence showed granular IgA at the epidermal-dermal junction.

Description

widely disseminated but primarily acral 2-4 mm vesicles with excoriations and crusts

Image Added

9/7/2008 21:35:26

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Other Resources

PubMed Medline Plus Medscape

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