St Clair Nicole E, Kim Caroline Choi, Semrin Gaith, Woodward Amy L, Liang Marilyn G, Glickman Jonathan N, Leichtner Alan M, Binstadt Bryce A
Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Pediatr Dermatol. 2006 Sep-Oct;23(5):451-4. doi: 10.1111/j.1525-1470.2006.00281.x.
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.