From Chilblains (Pernio) to Coeliac Disease—Should We Still Consider It Random?

Autor: Mario Mašić, Ana Močić Pavić, Alenka Gagro, Ana Balažin Vučetić, Suzana Ožanić Bulić, Zrinjka Mišak
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Children, Vol 9, Iss 12, p 1972 (2022)
Druh dokumentu: article
ISSN: 2227-9067
DOI: 10.3390/children9121972
Popis: Coeliac disease (CD) is a gluten-triggered, immune-mediated inflammatory disease occurring in genetically predisposed individuals, causing a variety of gastrointestinal and extraintestinal symptoms. The most common cutaneous association of CD is dermatitis herpetiformis, although recent reports have sought to link CD with other dermatological and autoimmune diseases. Chilblain, also called pernio, is usually a benign, superficial and localized inflammatory skin disorder that results from a maladaptive vascular response to non-freezing cold. We present a patient with pernio (chilblains) and newly diagnosed CD, with a significant intestinal lesion–total villous atrophy, as there are only two known cases of this feature associated with CD published in the literature. In the workup of chilblains (pernio) in children, an active case finding for coeliac disease should be conducted with coeliac-specific serology testing.
Databáze: Directory of Open Access Journals