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Published on: December 15, 2011
Isolated Hand Involvement as the Presenting Sign of Dermatitis Herpetiformis
Zane Sejdiu1, Romina Garakani1, Stephen Ansah-Addo2
1Mr. Sejdiu and Ms. Garakani are with the Drexel University College of Medicine in Philadelphia, Pennsylvania and the Department of Dermatology at St. Luke's Health Network in Easton, Pennsylvania.
Dermatitis herpetiformis (DH), an autoimmune disease, rarely affects the dorsal hands. This case highlights a unique presentation of DH solely on the hands, emphasizing diagnostic considerations for chronic hand eruptions.
Area of Science:
- Immunodermatology
- Autoimmune Blistering Diseases
Background:
- Dermatitis herpetiformis (DH) is an autoimmune blistering disease linked to celiac disease.
- Classic DH presentation involves pruritic vesicles on elbows, knees, buttocks, and scalp.
- Dorsal hand involvement in DH is exceptionally rare, often leading to diagnostic challenges.
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