Acral petechial eruptions without gastrointestinal symptoms: Three cases of dermatitis herpetiformis

Dermatitis herpetiformis classically presents with intensely pruritic vesiculopapules on the extensor surfaces and is associated with gluten sensitivity and celiac disease. Acral petechiae and purpura are an uncommon but important presentation of dermatitis herpetiformis that can help guide the astute diagnostician, especially because they may be the only sign of gluten sensitivity. We report 3…

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