Dermatitis herpetiformis as a cutaneous expression of celiac disease: Pediatric case report
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Keywords

Dermatitis Herpetiformis
Celiac disease

How to Cite

Dermatitis herpetiformis as a cutaneous expression of celiac disease: Pediatric case report. (2026). Archives of Pediatrics of Uruguay, 97(2), e312. https://doi.org/10.31134/

Abstract

Dermatitis herpetiformis is a chronic bullous disease considered a cutaneous manifestation of celiac disease, although in some cases it may present with skin involvement alone. Its pathogenesis involves a combination of genetic, immune- mediated, and environmental factors (gluten exposure). We present the clinical case of a female patient with a long-standing disseminated pruritic dermatosis, in whom a diagnosis of dermatitis herpetiformis was established through laboratory testing and histological evaluation. A comprehensive review was conducted on the features of this uncommon entity in pediatric populations, its diagnosis via histology and direct immunofluorescence, its clinical associations, treatment, and follow-up.

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References

1. AlToma A, Volta U, Auricchio R, Castillejo G, Sanders D, Cellier C, et al. European Society for the Study of Coeliac Disease (ESsCD) guideline for coeliac disease and other gluten-related disorders. United European Gastroenterol J 2019; 7(5):583-613. doi: 10.1177/2050640619844125.

2. Bolotin D, Petronic V. Dermatitis herpetiformis. Part I. Epidemiology, pathogenesis, and clinical presentation. J Am Acad Dermatol 2011; 64(6):1017-24; quiz 1025-6. doi: 10.1016/j.jaad.2010.09.777.

3. Zingone F, Maimaris S, Auricchio R, Caio G, Carroccio A, Elli L, et al. Guidelines of the Italian societies of gastroenterology on the diagnosis and management of coeliac disease and dermatitis herpetiformis. Dig Liver Dis 2022; 54(10):1304-19. doi: 10.1016/j.dld.2022.06.023.

4. Antiga E, Maglie R, Quintarelli L, Verdelli A, Bonciani D, Bonciolini V, et al. Dermatitis herpetiformis: novel perspectives. Front Immunol 2019; 10:1290. doi: 10.3389/fimmu.2019.01290.

5. Hervonen K, Salmi T, Kurppa K, Kaukinen K, Collin P, Reunala T. Dermatitis herpetiformis in children: a long-term follow-up study. Br J Dermatol 2014; 171(5):1242-3. doi: 10.1111/bjd.13047.

6. Albadri Z, Al Bayati D, Häbel H, Jerkovic Gulin S, Grönhagen C, Seifert O. Incidence of Dermatitis Herpetiformis in Sweden 2005 to 2018: A Nationwide Retrospective Cohort Study. Acta Derm Venereol 2023; 103:adv13210. doi: 10.2340/actadv.v103.13210.

7. Shields B, Hull C, Zone J. Dermatitis herpetiformis and linear IgA bullous dermatosis. En: Bolognia J, Schaffer J, Cerroni L, eds. Dermatology. 5 ed. New York: Elsevier, 2025:534-44.

8. Salmi T. Dermatitis herpetiformis. Clin Exp Dermatol 2019; 44(7):728-31. doi: 10.1111/ced.13992.

9. Warren S, Cockerell C. Characterization of a subgroup of patients with dermatitis herpetiformis with nonclassical histologic features. Am J Dermatopathol 2002; 24(4):305-8. doi: 10.1097/00000372-200208000-00003.

10. Barnadas M. Dermatitis Herpetiformis: A Review of Direct Immunofluorescence Findings. Am J Dermatopathol 2016; 38(4):283-8. doi: 10.1097/DAD.0000000000000420.

11. Reunala T, Hervonen K, Salmi T. Dermatitis herpetiformis: an update on diagnosis and management. Am J Clin Dermatol 2021; 22(3):329-38. doi: 10.1007/s40257-020-00584-2.

12. Nguyen C, Kim S. Dermatitis herpetiformis: an update on diagnosis, disease monitoring, and management. Medicina (Kaunas) 2021; 57(8):843. doi: 10.3390/medicina57080843.

13. Larralde M, Abad M, Luna P, Boggio P, Ferrari B. Dermatología pediátrica. 3 ed. Buenos Aires: Journal, 2021.

14. Bolotin D, Petronic V. Dermatitis herpetiformis. Part II. Diagnosis, management, and prognosis. J Am Acad Dermatol 2011; 64(6):1027-33; quiz 1033-4. doi: 10.1016/j.jaad.2010.09.776.

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Copyright (c) 2026 Mariana Argañaraz, Damián Pietrafesa, Magdalena Lamberti, Agustina Acosta