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.

Ecchymosis

A purpuric lesion that is larger than 1 cm in diameter.


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(per page)
PMID (PMCID)
29492350
(5820012)
OTHER
Scabies Surrepticius: Scabies Masquerading as Pityriasis Rosea.
Stiff KM, Cohen PR.
Cureus. 2017;9(12):e1961.
In addition, atypical presentations of scabies can masquerade as dermatitis herpetiformis, ecchymosis, Langerhans cell histiocytosis, systemic lupus erythematosus, urticaria, and urticaria pigmentosa.