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Atypical erythema annulare centrifugum in a child with celiac disease

Martina Votto1, Maria De Filippo1, Amelia Licari1

  • 1Department of Pediatrics Fondazione IRCCS Policlinico San Matteo University of Pavia Pavia Italy.

Clinical Case Reports
|July 26, 2021
PubMed

Insights

Dermatitis herpetiformis is a well-known skin manifestation of celiac disease (CD). Other chronic skin conditions may also indicate CD and warrant consideration in diagnosis.

Area of Science:

  • Gastroenterology and Dermatology

Background:

  • Celiac disease (CD) is an autoimmune disorder triggered by gluten ingestion.
  • Extraintestinal manifestations (EIMs) are common in CD, affecting various organ systems.

Observation:

  • Dermatitis herpetiformis (DH) is the most recognized skin manifestation of CD.
  • Other chronic skin conditions have been anecdotally linked to CD.

Findings:

  • While DH is the classic association, a broader spectrum of chronic skin lesions may be linked to celiac disease.
  • These diverse dermatoses should be evaluated for potential underlying CD.

Implications:

  • Expanding the differential diagnosis of chronic skin conditions to include celiac disease can improve diagnostic rates.
  • Early identification of CD through dermatological assessment can prevent long-term complications.

Keywords:
celiac diseaseerythema annulare centrifugumgluten‐free dietpediatricsskin biopsy

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