Facial Involvement in Dermatitis Herpetiformis: A Case Report and Review of the Literature

2018 ◽  
Vol 23 (1) ◽  
pp. 35-37
Author(s):  
Allison K. Cinats ◽  
Laurie M. Parsons ◽  
Richard M. Haber
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Contact Dermatitis ◽  
Dermatitis Herpetiformis ◽  
Therapeutic Option ◽  
Direct Immunofluorescence ◽  
Gluten Free ◽  
Review Of The Literature ◽  
The Face ◽  
Allergic Contact

Dermatitis herpetiformis is a cutaneous manifestation of celiac disease that classically presents as a symmetric pruritic vesicular eruption on extensor surfaces. Typical locations include elbows, knees, and buttocks. Facial involvement has been reported rarely. Here, we report a case of a 44-year-old woman with dermatitis herpetiformis presenting as pruritic vesicles on the face that had previously been misdiagnosed as allergic contact dermatitis. Diagnosis was confirmed with direct immunofluorescence demonstrating granular IgA in the papillary dermis. This eruption cleared with topical dapsone 5% gel and a gluten-free diet. We report this case to raise awareness of facial involvement in dermatitis herpetiformis as well as the possibility of topical dapsone as a therapeutic option.

scholarly journals A Rare Comorbidity: Dermatitis Herpetiformis and Sarcoidosis - A Case Report

2016 ◽  
Vol 8 (3) ◽  
pp. 171-176
Author(s):  
Stoyan Ivanov Pavlov ◽  
Irina Ivanova Ivanova ◽  
Hristo Boychev Popov ◽  
Maria Angelova Tzaneva ◽  
Peter Ivanov Ghenev
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Dermatitis Herpetiformis ◽  
Tissue Transglutaminase ◽  
Epithelioid Cell ◽  
Unknown Etiology ◽  
Simultaneous Occurrence ◽  
Direct Immunofluorescence ◽  
Laboratory Test Results ◽  
Wide Range

Abstract Sarcoidosis is an enigmatic, multisystem granulomatous disease of unknown etiology and wide range of clinical presentations. Case report: A 54-year-old female presented with facial rash: polymorphic, round, infiltrated erythematous plaques, 1 - 3 cm in size, disseminated on several areas of the face. The medical history was consistent with dermatitis herpetiformis and persistent intrahepatic cholestasis. The laboratory test results suggested celiac disease (strong positivity of IgA anti-tissue transglutaminase antibodies) but upper endoscopy was not performed to confirm it. The skin biopsy revealed noncaseating epithelioid-cell granulomas, and negative direct immunofluorescence showed IgA deposits in the dermis. Sarcoidosis with cutaneous and hepatic involvement was established based on compatible clinical findings and supportive histology. The period between manifestations of Duhring disease and skin manifestations of sarcoidosis was 20 years. Conclusion: Our clinical case supports the hypothesis for common immune pathogenic factors in gluten-sensitive diseases and sarcoidosis. The simultaneous occurrence of celiac disease and sarcoidosis is rare, but should not be under recognized.

scholarly journals Celiac Crisis in an Adult Patient: Case Report and Review of the Literature

2021 ◽  
Vol 8 (2) ◽  
pp. 1-3
Author(s):  
Dimitrios Katsifis-Nezis ◽  
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Adult Patient ◽  
Gluten Free ◽  
Review Of The Literature ◽  
Patient Case ◽  
Rare Presentation ◽  
Celiac Crisis ◽  
Osmotic Diarrhea ◽  
History Of

We report a case of celiac crisis in a previously healthy 51-year-old female presenting with a month’s history of diarrhea, cachexia and an abnormal metabolic panel.The patient’s diarrhea resolved after initiation of a gluten free diet and she gained 4 kilograms during hospitalization. Celiac crisis is a very rare presentation of celiac disease in adults but nonetheless should be considered in patients with marked metabolic derangements in the setting of osmotic diarrhea.

scholarly journals Atypical hematological manifestation of celiac disease: A case report of aplastic anemia in a 2‐year‐old child and review of the literature

2021 ◽  
Vol 5 (2) ◽  
pp. 159-162
Author(s):  
Thea Graffenried ◽  
Mattia Rizzi ◽  
Michel Russo ◽  
Andreas Nydegger ◽  
Simon Kayemba‐Kay’s
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Aplastic Anemia ◽  
Review Of The Literature

scholarly journals Maxillary Carcinosarcoma: A Case Report and Review of the Literature

2014 ◽  
Vol 6 (3) ◽  
pp. 114-117
Author(s):  
Ilson Sepúlveda ◽  
Michael Frelinghuysen ◽  
Cesar García ◽  
M Loreto Spencer ◽  
Enrique Platín ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Case Report ◽  
Review Of The Literature ◽  
The Face ◽  
Maxillary Region ◽  
Radical Dissection

ABSTRACT We report on a patient who presented with pain and swelling to the left maxillary region of the face. A biopsy of the area was performed and subsequently diagnosed as maxillary carcinosarcoma (CCS). After reviewing the pathology results and the size of the tumor, it was decided that a radical dissection, followed by radiation therapy was the best option. How to cite this article Sepúlveda I, Frelinghuysen M, García C, Spencer ML, Platín E, Alarcon J, Ulloa D. Maxillary Carcinosarcoma: A Case Report and Review of the Literature. Int J Otorhinolaryngol Clin 2014;6(3):114117.

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