Clinicopathologic Conference
DR. ROBERT SHUMWAY, Chief of Medicine, Crile Veterans' Administration Hospital
DR. RICHARD STOUGHTON, Director of Dermatology, University Hospitals
DR. WILLIAM MORNINGSTAR, Chief of Pathology, Crile Veterans' Administration Hospital
Dermatitis Herpetiformis. Presented by DRS. A. E. WALKER and J. J. STEWART.
A 30-year-old white man has experienced an itchy burning eruption of the extensor aspects of the arms, buttocks, thighs, and back of the neck for the past year. It has been present almost continuously both winter and summer and seems unaffected by the patient's environment, habits, occupation, or food ingestion. The patient denies allergies.
His general health has always been excellent. There are no allergies. The family history is noncontributory.
On examination, a grouped, excoriated, erythematous, papulovesicular eruption is seen over the extensor aspects of the forearms and elbows, on the back of the neck, and to a lesser degree on the buttocks, especially
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