Helsing Per, Frøen Hege
Department of Dermatology, Rikshospitalet University Hospital, Oslo, Norway.
Acta Derm Venereol. 2007;87(2):163-5. doi: 10.2340/00015555-0220.
Dermatitis herpetiformis and coeliac disease are gluten-sensitive diseases that share immunopathological mechanisms. Neurological disorders are reported in both diseases, being more frequent in coeliac disease. Dermatitis herpetiformis is rare in paediatric populations and only sporadic cases with neurological dysfunction are reported. Uncertainty exists as to whether early treatment may stop or reverse neurological symptoms. We describe here the case of a child presenting with a rash and ataxia, diagnosed with dermatitis herpetiformis, in whom neurological symptoms and signs regressed after treatment.
疱疹样皮炎和乳糜泻是具有共同免疫病理机制的麸质敏感疾病。两种疾病均有神经系统疾病的报道,在乳糜泻中更为常见。疱疹样皮炎在儿科人群中罕见,仅有散发性伴有神经功能障碍的病例报道。对于早期治疗是否可以阻止或逆转神经症状尚不确定。我们在此描述一名出现皮疹和共济失调的儿童病例,该患儿被诊断为疱疹样皮炎,其神经症状和体征在治疗后消退。