Dermatitis herpetiformis

A chronic autoimmune subepidermal bullous disease characterized by grouped pruritic lesions such as papules, urticarial plaques, erythema, and herpetiform vesiculae, with a predominantly symmetrical distribution on extensor surfaces of the elbows (90%), knees (30%), shoulders, buttocks, sacral region, and face of children and adults. Erosions, excoriations and hyperpigmentation usually follow. It may also appear as a consequence of gluten intolerance.

Failure to thrive

Failure to thrive (FTT) refers to a child whose physical growth is substantially below the norm.

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PMID (PMCID)
15953332	MALE	Infant
	Coeliac disease presenting as dermatitis herpetiformis in infancy.
	Lemberg D, Day AS, Bohane T. J Paediatr Child Health. 2005;41(5-6):294-6.
	Dermatitis herpetiformis is the commonest associated pathology of CD, although rare in infancy, it should be considered in any child presenting with failure to thrive and atypical, chronic rash not responding to simple measures.