title: Celiac disease presenting with chilblains in an adolescent girl.
abstract: 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.
authors.affiliation: Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
authors.forename: Nicole E
authors.initials: NE
authors.lastname: St Clair
authors.forename: Caroline Choi
authors.initials: CC
authors.lastname: Kim
authors.forename: Gaith
authors.initials: G
authors.lastname: Semrin
authors.forename: Amy L
authors.initials: AL
authors.lastname: Woodward
authors.forename: Marilyn G
authors.initials: MG
authors.lastname: Liang
authors.forename: Jonathan N
authors.initials: JN
authors.lastname: Glickman
authors.forename: Alan M
authors.initials: AM
authors.lastname: Leichtner
authors.forename: Bryce A
authors.initials: BA
authors.lastname: Binstadt
mesh_terms: D000293:Adolescent; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis / Q000178:diet therapy; D002647:Chilblains / Q000209:etiology*; D005260:Female; D006801:Humans