Medical Question of the Day- 36

A 30-year-old man visits the clinic complaining of recurrent bouts of diarrhea accompanied with bloating over the past few years. He also reports that he has itchy vesicles around the extensor surfaces of his upper and lower extremities. The rest of clinical examination is normal.

What is the skin condition most likely present in this patient?

A- Dermatitis herpetiformis

B- Psoriasis

C- Rosacea

D- Seborrheic keratosis

E- Shingles (herpes zoster)

Answer

This case is most likely celiac disease which is characterized by steatorrhea and diarrhea accompanied by pruritic vesicles and bullae which are known as dermatitis herpetiformis. It is related to the deposition of immunoglobulin A at dermal papillae tips.

The correct answer is A

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