Recognizing and Managing Dermatologic Manifestations of Celiac Disease in Children

    December 2024 in “ International Journal of Community Medicine and Public Health ”
    Nawal Rajeh Alyamani, Huda Abdulqader Turkstani, Sarah Mutlaq Abuthnain, Samiah Abdulrahman Abanomy, Raghad Saad Alamri, Ghaida Alzahrani, Meznah Obaid Alqethami, Aljoharh Hassan Aljabar, Sukaina Kamal Alzedany, Salma AlBahrani, Abdulelah Fahad Almansour
    TLDR Children with celiac disease often have skin issues, best managed with a gluten-free diet and sometimes medication.
    Celiac disease (CD) in children can manifest through various dermatologic conditions, with dermatitis herpetiformis (DH) being a key feature. Other skin issues like eczema, psoriasis, alopecia areata, and urticaria are more common in children with CD. These manifestations are linked to immune dysregulation and gluten sensitivity. Diagnosing CD based on skin symptoms is challenging due to overlapping conditions, but direct immunofluorescence for IgA deposits is crucial for DH diagnosis. Management primarily involves a strict gluten-free diet, with medications like dapsone for DH and possibly immunosuppressants for other conditions. Comprehensive care, including psychosocial support, is essential for improving quality of life and outcomes in affected children.
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