Image Challenge – June 30

Question: A patient in their mid 30s presents to clinic with a 3 month history of abdominal discomfort, intermittent non bloody diarrhea, and weight loss of roughly 10 lbs. They complain to you that they have also noticed a rash in their elbows (shown) that is very pruritic. What is this rash called and what is your most likely diagnosis? BONUS: How do you treat this rash?

Answer: This is consistent with dermatitis herpetiformis, an intensely pruritic blistering skin condition associated with Celiac Disease. First line therapy is a gluten-free diet, but if ineffective, can consider Dapsone. (bonus points for those who thought to check for G6PD deficiency!)

Congratulations to those of you who got this correct!

Leave a Reply