Premium
Childhood dermatitis herpetiformis: an unusual presentation
Author(s) -
A. Woollons,
Darley Cr,
Bhogal Bs,
Black Mm,
Atherton Dj
Publication year - 1999
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1046/j.1365-2230.1999.00481.x
Subject(s) - dermatitis herpetiformis , buttocks , dapsone , medicine , dermatology , incidence (geometry) , direct fluorescent antibody , presentation (obstetrics) , immunofluorescence , biopsy , pathology , surgery , disease , antibody , immunology , physics , optics
Childhood dermatitis herpetiformis (DH) is rare. The true prevalence and incidence of this condition are unknown. We report a 7‐year‐old boy presenting with nonpruritic inflammatory papules on the buttocks and extensor surfaces, clinico‐pathologically consistent with Sweet's neutrophilic dermatosis. Immunofluorescence studies showed IgA deposits in the dermal papillae consistent with DH. Remission was achieved with a gluten‐free diet and dapsone. Childhood DH may present different clinical signs to the adult form and misdiagnosis can occur if immunofluorescence is not requested on skin biopsy.