Pernio as the clinical presentation of celiac disease: A case report

Alexandre Lemieux; Natasha Emily Sanchez Vivas; Julie Powell; Prévost Jantchou; Marie-Paule Morin

doi:10.1177/2050313X20940442

Pernio as the clinical presentation of celiac disease: A case report

SAGE Open Med Case Rep. 2020 Jul 10:8:2050313X20940442. doi: 10.1177/2050313X20940442. eCollection 2020.

Authors

Alexandre Lemieux^{1

2}, Natasha Emily Sanchez Vivas³, Julie Powell², Prévost Jantchou⁴, Marie-Paule Morin⁵

Affiliations

¹ Department of Medicine, Division of Dermatology, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada.
² Division of Dermatology, Department of Pediatrics, CHU Sainte Justine, University of Montreal, Montreal, QC, Canada.
³ Faculty of Medicine, University of Montreal, Montreal, QC, Canada.
⁴ Division of Gastroenterology, Hepatology and Nutrition, CHU Sainte Justine, Montreal, QC, Canada.
⁵ Immunology and Rheumatology Division, Department of Pediatrics, CHU Sainte Justine, Montreal, QC, Canada.

Abstract

We present the case of a 12-year-old girl with severe pernio as the sole clinical presentation of celiac disease (CD), without associated gastrointestinal symptoms. Lesions greatly improved once a gluten free diet was initiated. At 5-year follow-up, she remains in clinical remission throughout the year with no pharmacological treatment, without skin lesions flare-up in the winter months.

Keywords: celiac disease; chilblains; gluten; pernio.

Publication types

Case Reports