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Celiac disease presenting with chilblains in an adolescent girl
Nicole E St Clair1, Caroline Choi Kim, Gaith Semrin
1Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Abstract:
Chilblains, or pernio, are cutaneous lesions that may accompany systemic illnesses including states of malnutrition and autoimmune diseases. We report an adolescent girl in whom chilblains were the chief presenting sign of celiac disease. A gluten-free diet led to weight gain and resolution of the chilblains. We speculate that in this patient, weight loss due to celiac disease contributed to the development of chilblains.
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