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Images in Dermatology
April 8, 2020

Acral Purpura in Dermatitis Herpetiformis

JAMA Dermatol. 2020;156(6):695. doi:10.1001/jamadermatol.2020.0378

A 32-year-old woman with a history of type 1 diabetes mellitus and hypothyroidism sought medical advice for a condition of highly pruritic, small vesicles and papules distributed symmetrically on the eyelids, elbows, knees, buttocks, and scalp (Figure 1). She had experienced outbreaks during the past year, with no intestinal or systemic symptoms. She also had asymptomatic, reddish-brown hemorrhagic lesions on both palms (Figure 2), the volar surface of the fingers, and both soles. These lesions had been present for several years.

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