Celiac disease presenting with chilblains in an adolescent girl.
Chilblains, or pernio, are cutaneous lesions that may accompany systemic illnesses including states of malnutrition and autoimmune diseases. We report an adolescent girl in whom chilblains were the chief presenting sign of celiac disease. A gluten-free diet led to weight gain and resolution of the chilblains. We speculate that in this patient, weight loss due to celiac disease contributed to the development of chilblains.
St Clair
Nicole E
NE
Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Kim
Caroline Choi
CC
Semrin
Gaith
G
Woodward
Amy L
AL
Liang
Marilyn G
MG
Glickman
Jonathan N
JN
Leichtner
Alan M
AM
Binstadt
Bryce A
BA
D000293:Adolescent; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis / Q000178:diet therapy; D002647:Chilblains / Q000209:etiology*; D005260:Female; D006801:Humans